Foreign bodies accidentally left in the abdominal cavity : with report of one hundred and fifty-five cases / by August Schachner.

  • Schachner, August, 1865-1941.
Date:
1901
Catalogue details

Licence: In copyright

Credit: Foreign bodies accidentally left in the abdominal cavity : with report of one hundred and fifty-five cases / by August Schachner. 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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    In the thirty cases recorded by Wilson there are three cases reported by Spencer Wells, one by Lawson Tait, another by G. Braun, another by Carl v. Braun, three from Reeves Jackson, one from Thomas Gaillard, one from Howard, one from Atlee, one from Howitz, one from Engleman. In fifteen cases the facts are known without the knowledge of the names, and therefore we can consider these as Cases 72-86. (87, 88) Von Winkel forgot a sponge in the abdominal cavity during a myomotomy, and the fact became known through an autopsy. In an- other case he forgot a forceps, which was later passed spontaneously in an abscess. (See Bode.) (89) On another occasion, operator unknown, a Richelot clamp was left behind in the abdominal cavity. (90) On the 9th of May, 1899, Neugebauer heard of an operation in Warsaw, on which occasion a gauze sponge was left in the abdominal cavity. The patient was brought in with an abdominal wound. The assist- ant had to perform an operation immediately with the help of the Sisters of Charity. The abdominal cavity was opened through the median line. The intestines were found unharmed, with the exception of the omentum. He resected the injured part of the omentum. After two weeks an abscess formed, and upon opening the same a gauze sponge was removed which one of the Sisters of Charity had forgotten. (91) Kosinski forgot, on October 31, 1888, a haemostatic forceps while performing an ovariotomy. Four months after operation artery clamps recovered from abdominal abscess. Recovery. (92) Kijewski found a fragment of an irrigator in a woman who had died of nephritis that followed two weeks after an abdominal sec- tion. The irrigator, while being held at a considerable height, burst, and a fragment of the glass fell into the abdominal cavity without being observed. (93) Kijewski found during an autopsy a gauze napkin in the ab- dominal cavity. (94-96) Przewoski during autopsies on three occasions found pieces of gauze or a gauze napkin in the abdominal cavity after abdominal sec- tions. (97) Hefting (Deutsche medicinische Zeitung, March 5, 1897). A patient, sixty years of age, upon whom an abdominal section was per- formed twelve years previously, suffered from intestinal disturbances, especially constipation. She had not had a movement for four days. A movable tumor of the intestine with uneven surface was observed, and castor oil was administered. This was followed by the discharge per anum of a sponge that twelve years previously had been lost in the abdominal cavity. (98) Marine (El Siglo Medico, December 18, 1880, p. 810, Schmidt’s Jahrbuch, Band xxii, No. 6). An ovariotomy was performed upon a twenty-six-year-old patient. Eight days thereafter the drainage tube dis- appeared, and a week following its disappearance it was passed per anum. (99) Rydygier (Pamixtnik 11, Zjazdu Chirurg., Polskich, 1898. p. 121). During a vaginal hysterectomy a sponge was lost in the abdominal cavity. A diligent search failed to reveal the sponge. After seven weeks