Report of seven cases of abdominal surgery in which the Murphy button was applied / by A. Vander Veer.

  • Vander Veer, A. (Albert), 1841-1929.
Date:
1896
Catalogue details

Licence: Public Domain Mark

Credit: Report of seven cases of abdominal surgery in which the Murphy button was applied / by A. Vander Veer. 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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    ture of the stomach. Patient was really very comfortable after the operation, but died from exhaustion on the third day. On examination the button was found in excellent position, union quite pronounced, and all surroundings favorable. These are the desperate cases that present at times to the surgeon for relief, with very little chance for recovery in any operation ex- cept they be reached early. It is yet a mooted question whether we ought to operate at this stage or not. I am of the opinion that the weight of argument and results is against doing any opera- tion when the patient is so weak and emaciated. Case 2: Carcinoma of the sigmoid flexure, removal and end- to-end anastomosis. Mr. W. T., aged sixty-two; native of United States; machin- ist by occupation. Family history : mother died of consumption, also two maternal aunts; father died of some heart trouble, aged seventy-two; one sister living; one died in infancy, and one of consumption, aged sixteen. Personal history: Patient well, save an attack of pleurisy thirty years ago. February, 1893, had attacks of pain and colic after eating, lasting only a few hours. At this time pain occurred at intervals of two and three weeks, but since bas increased in fre- quency and severity until prior to operation when pain was almost constant. Bowels seldom moved voluntarily, injections being necessary, and tube passed to remove gas. Feces passed in small, hardened masses accompanied by pain, occasionally ribbon- shaped and clay-colored. Pain referred to lower portion of bowel in region of sigmoid flexure and up left side of abdomen. Entered Albany Hospital February 1, 1894, and diagnosis made of stricture of intestine, lower portion descending colon, probably malignant. Operation performed February 3d, consist- ing of removal of mass in connection with sigmoid flexure, three inches in length, and an anastomosis of the large intestine by means of the Murphy button. Operation revealed cause of con- striction to be carcinoma. Mass much adherent to the surround- ing parts, which rendered the operation difficult. Wound closed i by silk-worm gut sutures, with a tampon of iodoform gauze as ! drainage in most dependent portions, latter removed on second day and rubber drainage inserted. Patient presented on third