Sajous's analytical cyclopædia of practical medicine . culation. Organismssimilarly do harm bj the rapid absorptionof their toxins in a similar ii protective, and tends to preventthis absorption. 5. The Fowler positionand a suprapubic drain. The object of theFowler position is to allow the dischargesto gravitate toward the pelvis, and awayfrom the danger zone of the patient, as soon as he has recoveredfrom the anesthetic, is placed in the sittingposture, so that the abdominal cavity is vertical in position, and drainage is insti-tuted bj placing a large drain in the
Sajous's analytical cyclopædia of practical medicine . culation. Organismssimilarly do harm bj the rapid absorptionof their toxins in a similar ii protective, and tends to preventthis absorption. 5. The Fowler positionand a suprapubic drain. The object of theFowler position is to allow the dischargesto gravitate toward the pelvis, and awayfrom the danger zone of the patient, as soon as he has recoveredfrom the anesthetic, is placed in the sittingposture, so that the abdominal cavity is vertical in position, and drainage is insti-tuted bj placing a large drain in the pelvisthrough a stab wound above the drainage-tube is three-fourths to oneinch in diameter, about eight inches long,glass, and goes down to the pouch ofDouglas in the female, and the rectovesicalin the male. In this position the tube isalmost horizontal; and if it is filled withfluid, each excursion of the diaphragm willpump a small quantity of it out into tliedressings. The hole is now at the mostdependent part of the abdominal cavity. Peritonitis treated by the Murphy method Proctoclysis or the absorption of largequantities of saline by the rectum for thefirst two days after operation. As soon aspossible after the operation, a tube havingnumerous holes in it and one-half inch indiameter is inserted into the rectum forabout two to three inches. This is con-nected by means of a rubber tube of thesame diameter with a container suspendedfrom four to twelve inches above the planeof the patients couch, and the whole isfilled with warm saline. By means of thishead of water (it need only be four to sixinches in height, as a rule) saline graduallytrickles into the rectum at about the rateof three-quarters to one pint an hour. Thetemperature of the saline is kept at ICX) F. 58 ABDOMEN, SURGERY OF (MORRIS). and should never reach 106° P., or it will not be retained. Editors. Description of a scheme of treat-ment for peritonitis based on experi-ence in 13,145 laparotomie
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