. Diseases of women. A clinical guide to their diagnosis and treatment. catarrh.—As a rule an operation on the peri-toneum is followed by gastric catarrh, which lasts nearly aweek. The patient is thirsty, and has no appetite. Thetongue becomes coated. There is flatulence, and colickypain in the belly, sometimes severe. The colic is severebecause anxiety, the anaesthetic, and the deprivation of foodand sleep, lower the tone of the nervous system and makeit more sensitive. On the third day this pain begins to im-prove. Towards the end of the week the tongue cleans, thepatient ceases to be thirst
. Diseases of women. A clinical guide to their diagnosis and treatment. catarrh.—As a rule an operation on the peri-toneum is followed by gastric catarrh, which lasts nearly aweek. The patient is thirsty, and has no appetite. Thetongue becomes coated. There is flatulence, and colickypain in the belly, sometimes severe. The colic is severebecause anxiety, the anaesthetic, and the deprivation of foodand sleep, lower the tone of the nervous system and makeit more sensitive. On the third day this pain begins to im-prove. Towards the end of the week the tongue cleans, thepatient ceases to be thirsty, and the appetite returns. Thisgastric catarrh is a reflex effect of peritoneal irritation. Itis more severe after prolonged operations; and more markedafter operations in which the peritoneum is opened by thebelly wall, than in those in which it is opened by the vagina;why, it is hard to say. It is a frequent accompaniment ofpelvic peritonitis. The after-fate of ligatures.—As a rule the tissues onthe proximal side of the ligatured pedicle swell up, meet those. Fig. 235.—Diagram showing how ligaturesmay find their way into the broadligament. (Latvson Tait.) a a, peritoneum; b c, tissues em-braced by ligature. Fig. 23G. - Diagram showing folds ofperitoneum adherent above liga-ture. {Laicson Tait.) a a, peritoneum ; b, tissues held by ligature ;c, ligature loosened by suppuration. on the distal side, leucocytes pass from one to the other,lymph is exuded and adhesions form and bury the ligature, 812 DISEASES OF WOMEN.
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