The management of laparotomy patients and their modified after-treatment / by H.J. Boldt.

  • Boldt, Hermann Johann, 1856-
Date:
1907
Catalogue details

Licence: In copyright

Credit: The management of laparotomy patients and their modified after-treatment / by H.J. Boldt. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    the same way as other abdominal section patients, examination did not indicate that the early moving about had any deleterious effect. Still, this is a point upon which I am not ready to express an opin- ion until I have had more experience. Coiichcsions.—No particular preparatory treat- ment is necessary for patients upon whom it is in- tended to do an abdominal operation, unless the op- eration involves the opening of the stomach or the IxDwels. Stomacli lavage is of benefit at the conclusion of the operation. Patients should not be kept unnecessarily under an anaesthetic. The ai)])lication of a tight bandage around the upper part of the thighs, to keep a blood reservoir m the lower extremities, in exsanguinated and very weak patients, is excellent. The same may in ex- ceptional ca.ses be done with one of the upper ex- tremities. These, bandages are taken off as soon as the operation has been completed, and thus more lilood is thrown into the trunk. Tlie administration of strychnine during and after an operation should be used with more care than is usually done. The intravenous infusion of a 0.9 per cent, saline solution should not be too long delayed when the condition of the patient makes it evident that its employment may be of benefit. In instances of large myomata, where the patient has been much exsan- guinated by bleeding, it is desirable that the infusion be begun as soon as the ])atient is fully under an •anaesthetic, so that by the time the operation has been completed, about 1,000 to 1,500 c.c. may have been infused. The application of a very simple dressing over the wound, and the adjustment of a snugly fitting Scultetus bandage made of oxide of zinc plaster. The administration of a dose of morphine if rest-