. Medical and surgical therapy . t of view, therefore, of distance fromthe front, the autochirs are exactly in the same categoryas divisional ambulances or army ambulances directlyintended for surgery. (Later on we will consider theircomparative output.) It remains, therefore, to make a comparison between,on the one hand, advanced surgical stations whichbring the surgeon as near as possible to the wounded,and, on the other hand, stationary ambulances from sixto twelve kilometres from the front, whether they beautomobile or not. At the advanced station the operation is performedunder the best c
. Medical and surgical therapy . t of view, therefore, of distance fromthe front, the autochirs are exactly in the same categoryas divisional ambulances or army ambulances directlyintended for surgery. (Later on we will consider theircomparative output.) It remains, therefore, to make a comparison between,on the one hand, advanced surgical stations whichbring the surgeon as near as possible to the wounded,and, on the other hand, stationary ambulances from sixto twelve kilometres from the front, whether they beautomobile or not. At the advanced station the operation is performedunder the best conditions for success. Bouvier andCaudrelier operated on the wounded during the very * Setting aside typical cases, which we have seen and notedpersonally, we will content ourselves with a reference to P. Del bet[Soc. Chir., 1916, p. 1110). 11 426 WOUNDS OF THE ABDOMEN first hours ; but the full advantage of this is only gainedif the station is absolutely safe from bombardmentand if both the operating surgeon and the patient can. Fig. 34.—Trench stretcher (Eybert). be ensured, not perhaps absolute, but comparative quietduring the days which follow an operation. If these conditions are not secured, if severe fightingalters the front Une, if the uncertainty of the next houror even of the next day adds to the anxieties of theoperator and exposes the wounded to a sudden evacua- CONDITIONS AND SURROUNDINGS 427 sso% tion, in short if the station becomes unhealthy bothfor the wounded and their attendants, it is indisput-ably better to take the wounded at once to a surgicalunit farther off which will assure him a longer andmore restful stay in hospital after the operation. Wherever he is to be operated on, near or far, thereis one stage to begot over in the caseof an abdominalwound to which toomuch attentioncannot be paid,for it is of the ut-most gravity—thatis the evacuationfrom the trench,and the transportto the point wherehe will be placed inan is often averitabl
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
