. Annals of surgery . sue, but, as the ductwas patulous to probe and fluids, no effort was made to remove the narrowed portionor to divide the same. A No. 6 soft rublicr catheter was passed down into the duodenum, and the wound wasclosed after excision of theremnants of the cystic duct. Recovery was catheter was utilized whilein situ to flush out the circula-tory system and kidneys byintroduction of two to threelitres of sterile water dailyinto the duodeiumi, this clearingup the jaundice rapidly. The patient returned homein seven weeks with the woundclosed. On March iQth hewrite
. Annals of surgery . sue, but, as the ductwas patulous to probe and fluids, no effort was made to remove the narrowed portionor to divide the same. A No. 6 soft rublicr catheter was passed down into the duodenum, and the wound wasclosed after excision of theremnants of the cystic duct. Recovery was catheter was utilized whilein situ to flush out the circula-tory system and kidneys byintroduction of two to threelitres of sterile water dailyinto the duodeiumi, this clearingup the jaundice rapidly. The patient returned homein seven weeks with the woundclosed. On March iQth hewrites as follows : December, 1907, first week, wound re-opened for several days. De-cember 2ist chills, fever, generalaching, wound reopened. De-ceiTiber 23rd, wound closed andhas not reopened to March 19, 1908. No soreness or tender-ness at site of incision; .stoolsof good color up to time ofattacks, then still yellow, butlighter; no colic at any time; some jaundice and repetitions of these obstructive. Fig. 5-—Shows catheter inheld in place by anchor suture toeight weeks, at which time thread \i no pains in shoulder or side; there Between April and August, 191symptoms, with septic reactions, led to the reopening of the wound on August 29,1908, and the finding of a stricture below the formerly opened area, the commonduct being this time opened nearer the duodenal junction. The probe passes easilyinto the duodenum. When trying to probe upwards, stricture found that admitsonly the smallest size probe. Divulsion of stricture and of scar-tissuesufficient to admit No. 16 English sound. On splitting open the stricture, severalsmall black biliary calculi are discharged with free flow of bfle. Insertion upwardinto dilated duct of rubber tube with double revers cuff; fastening same there withchromic gut, then passage of other end well down the duct into the duodenum sothat six to seven inches are free in duodenal lumen. Wound closed with cigarettedrain to jun
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
