Annals of surgery . round, andfound them apparently perfectly secure. A number of vessels requiredligation in a part of the mesentery of the excised loop in which theartificial anus existed. BY MURPHY*S BUTTON. 657 The wounds in the belly wall were now sutured, and a woodwool dressing was applied. The patient stood the operation (whichlasted an hour and a half) very well, and was placed in bed in verygood condition I directed that no food whatever should be given bythe mouth until hunger required it, and that meantime four enemataof peptonized milk should be administered in the
Annals of surgery . round, andfound them apparently perfectly secure. A number of vessels requiredligation in a part of the mesentery of the excised loop in which theartificial anus existed. BY MURPHY*S BUTTON. 657 The wounds in the belly wall were now sutured, and a woodwool dressing was applied. The patient stood the operation (whichlasted an hour and a half) very well, and was placed in bed in verygood condition I directed that no food whatever should be given bythe mouth until hunger required it, and that meantime four enemataof peptonized milk should be administered in the twenty-four hours. A small amount of morphia, with some atropia. was administeredfor a few days, and the catheter also had to be used. Her highesttemperature was on the day following the operation. On thesecond day she developed considerable cough, which I confess alarmedme a good deal for the integrity of the anastomosis, but in spite ofthat fact she had no further trouble. A moderate quantity of sterilized. Fig. Button.—The cylinder of the lower half passes inside that of theupper. The two teeth, projecting through holes in the lower cylinder, catch in thethread inside the upper cylinder so that once the two parts are pushed together theycan only be separated by unscrewing them. milk was given after forty-eight hours. In the first twenty-four hoursshe passed a small amount of flatus, and at the end of forty-eight hoursthere were two liquid movements, amounting to two ounces one of these was preceded by severe pain. On the third dayshe had twelve movements, which were liquid, but two teaspoonsfulof paregoric relieved her, in addition to half a grain of morphia,which she took for the pain. A very large amount of flatus passedduring this day. The next day she still had a slight diarrh-ea, butafter that no further trouble occurred. At the end of ten days all thestitches were out, and on the twelfth day the anastomosis buttonpassed, together with a slo
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
