The after-treatment of cases of abdominal section / by Christopher Martin.

  • Martin, Christopher.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: The after-treatment of cases of abdominal section / by Christopher Martin. Source: Wellcome Collection.

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    time during the first twenty-four hours. It is recognised by the mooring of the tube. When the nurse turns the tube round—as she should do each time she drains it—she finds that after making one or two turns the tube becomes held. On reversing the twisting movement, it first becomes free and then again is held. If an attempt be made to withdraw the tube from the abdomen, it will be resisted, To relieve the tube from its toils, the tube should be twisted round until it becomes fixed, and it should be retained in this position. This puts the omental protrusions on the strain, and tends to slowly draw them out of the holes. Should it fail, the surgeon should draw the tube slowly and steadily up towards the wound until the topmost hole with its omental hernia comes into view. This may be ligatured just beyond the tube, and snipped off with scissors. The other holes, as they come to the surface, are dealt with in like fashion until the tube is free. The exposed omentum is washed and returned to the abdo- men, and a fresh drainage tube is inserted. H.'EMORRHAGE AFTER ABDOMINAL SECTION. The chief risk the patient runs during the first twenty-four hours is that of haemorrhage. The source and severity of the bleeding varies with the particular operation performed, but the signs and symptoms are the same, whether the bleeding be from the vessels of the liver, the mesentery, or the pelvis. It will be convenient, in the present paper, to deal mainly with htemorrhage as it occurs consecutive to ovariotomy— taking this as the type of all abdominal sections. Ovarian tumours may be divided into two groups, (a) those with adhesions; {b) those free from adhesions. If after the removal of a non-adherent tumour severe hasmorrhaga occurs into the peritoneum, it must come from the vessels of the pedicle. If there have been vascular adhesions it may come either from these or from the pedicle. Hemorrhage from adhesions.—In the earlier years of ovari- otomy—in the days when the operation was the last resource