Wisconsin medical recorder . y this means may complicatingadhesions of the intestinal loops be pre-vented from forming. After an inflam-mation of the appendix at all severethe simple removal of the appendixis not alone indicated, the adhesionsshould be carefully separated and if pos-sible their renuion prevented. The caseof appendicitis in which a distinct ab-scess has formed should be treated firstof all by evacuation of the pus. Theevacuation of pus from the right iliacfossa is easily accomplished. The tu-mor should be carefully outlined bypalpation and percussion and a pointselected for inc
Wisconsin medical recorder . y this means may complicatingadhesions of the intestinal loops be pre-vented from forming. After an inflam-mation of the appendix at all severethe simple removal of the appendixis not alone indicated, the adhesionsshould be carefully separated and if pos-sible their renuion prevented. The caseof appendicitis in which a distinct ab-scess has formed should be treated firstof all by evacuation of the pus. Theevacuation of pus from the right iliacfossa is easily accomplished. The tu-mor should be carefully outlined bypalpation and percussion and a pointselected for incision well out toward theright iliac fossa. The pus may be evac-uated through a short incision and afterthe cavity has been mopped out tubeand gauge drainage should be drainage of pus does not demanda very large opening. I have severaltimes drained such cases through in-cisions £Ot over one inch long. The pusmay be evacuated with the aid of infil-tration anesthesia. For this purpose a 3^4 WISCONSIN MEDICAL RECORDER. Kiel i;i: i Figure 1. Illustrating manner of draining by rubber tubing. One or more tubes may lie ustd,h<- use oi Lrlass tubes are objectional in abdominal surgery owing to the danger of necrosis. WISCONSIN MEDICAL RECORDER 315
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