Preparatory and after treatment in operative cases . the measure regardingits routine employment after operations in general, it is a de-sirable indulgence following celiotomy performed for conditionswhich of themselves are accompanied by vomiting. In the pres-ence of peritonitis or intestinal obstruction, the measure shouldalways be employed. The fact that the patient is still narcotizedeliminates, as far as this particular lavage is concerned, the dis- 440 OPERATIONS ON THE ABDOMEN tressing retching and vomiting attendant upon gastric lavagemade during consciousness. With the patient still n
Preparatory and after treatment in operative cases . the measure regardingits routine employment after operations in general, it is a de-sirable indulgence following celiotomy performed for conditionswhich of themselves are accompanied by vomiting. In the pres-ence of peritonitis or intestinal obstruction, the measure shouldalways be employed. The fact that the patient is still narcotizedeliminates, as far as this particular lavage is concerned, the dis- 440 OPERATIONS ON THE ABDOMEN tressing retching and vomiting attendant upon gastric lavagemade during consciousness. With the patient still narcotized,copious, prolonged, and thorough lavage of the stomach may bemade without bringing any strain upon the wound, which latteris so objectionable when the measure is employed during the post-operative period following celiotomy. At the end of the lavageno residual cleansing fluid should be permitted to remain in thestomach, for fear of contributing to the dilatation of this organ,which may occur as a postoperative complication. Acute dilata-. Fig. 288.—Acute Dilatation of the Stomach Following Abdominal Section. (Campbell Thomson.) tion of the stomach sequential to celiotomy is a more frequentoccurrence than obtains after operations involving other portionsof the body. The problem has been quite extensively taken upabove (page 271, et seq.). Allusion is made to it in this connec-tion for the reason stated with regard to frequency. Fig. 288shows a specimen of dilated stomach. The illustration is placedcontiguous to this portion of the discussion to emphasize thesubject. THE AFTER-TREATMENT FOLLOWING CELIOTOMY 441 It is not improbable that routine lavage of the stomach fol-lowing celiotomy, especially if the gastro-intestinal tract has beeninvaded, is of service in preventing acute dilatation of this organ. After the patient is returned to bed and postured, as statedabove, in the way to meet the indications, he is not disturbed untilnarcosis is recovered from. Patients wh
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