. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. h bandage from the chest to the knees. There is no advantage in redressing these cases. They are well onthe eighth or tenth day, and should be allowed to be up and take ordinaryexercise at once. Let no binder or truss be used after discharging thepatient. (E. Wyllys Andrews.) After-treatment.—The patient should observe the recumbent position,and must avoid all exertion and straining during the period of conva-lescence. H
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. h bandage from the chest to the knees. There is no advantage in redressing these cases. They are well onthe eighth or tenth day, and should be allowed to be up and take ordinaryexercise at once. Let no binder or truss be used after discharging thepatient. (E. Wyllys Andrews.) After-treatment.—The patient should observe the recumbent position,and must avoid all exertion and straining during the period of conva-lescence. He should not be allowed to lift himself in bed. It often 260 POSTOPERATIVE TREATMENT. happens that the comfort of the patient may be increased by allowingthe thighs to be kept a little flexed, by introducing a pillow beneaththe knees. In male patients retention of urine is occasionally com-plained of. The dieting of the patient should be upon the lines observed in theafter-treatment of cases of abdominal section. Opium should not beadministered unless distinctly indicated. The bowels should be openedon the fourth day by an enema, unless previously relieved. Flatulent. Fig. 77.—E. Wyllys Andrews Operation Fig. 78.—Imbrication of Lower for Hernia. Segment of External Oblique. Mattress deep stitches in posterior imbrication. A. Externa] oblique. B. Cord lifted. C. Lower flap of external oblique. distention of the belly may be relieved by the use of the rectal tube,,or, if severe and persistent, by means of a saline aperient. In somerare cases a severe diarrhea sets in within a day or so of the operation,,and is not only very difhcult to cope with, but may soon lead to deathfrom exhaustion. The drainage-tube, if employed, should be removed within forty-eight hours in ordinary cases that are doing well. The sutures maybetaken out on the eighth day or later. The wound should be dressed LAPAROTOMY AND OPERATIONS UPON THE ABDOMEN. 26l whenever the bandage becomes loose, and the p
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