Intestinal obstruction : its varieties with their pathology, diagnosis, and treatment / by Frederick Treves.

  • Treves, Frederick, 1853-1923.
Date:
1884
Catalogue details

Licence: Public Domain Mark

Credit: Intestinal obstruction : its varieties with their pathology, diagnosis, and treatment / by Frederick Treves. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    a correct diagnosis was not made. The cases wherein this operation is actually demanded are very few, and the measure should not be entertained until every other mode of treatment has had a patient and repeated trial. Lumbar colotomy for faecal accumu- lation must be regarded rather as a surgical mis- fortune than as a recognised means of treatment. D. Chronic iutuissiisccptioii.—The great fatality that attends this form of obstruction demands that it should be very carefully treated. Much relief can in all cases be afforded by a careful attention to diet, and in the most chronic examples benefit of a temporary character has attended the use of laxatives. In the less chronic cases, and in those associated with occasional and slight acute attacks, the nse of opium is now and then indicated. Attempts may be made to reduce the invagination by means of enemata and insuiflation, since it has been shown that even in intussusceptions that have existed for more than a month, reduction, and fairly easy reduction, is not impossible. This measure, however, can only be successful in extremely rare cases. The only means of relief, in the event of failure of non-operative measures, is by laparotomy, followed by resection of the diseased mass in cases where re- duction is found to be impossible. This question has already been discussed in the preceding chapter.