Southern medicine and surgery [serial] . e gall-bladder, aligature has been placed around the cystic ductwhere it joins the common duct. that relief would have been broughtabout again had the operation not beenresorted to. One of our recent patientswas admitted in a desperate condition,suffering great pain. One grain of mor-phine was given without obtaining en-tire relief but chloroform had been givenwhile in transit to the hospital. He wasoperated upon immediately. There wasfound a tremendously distended gall bladder containing fluid mixed with pusand four rough stones the size of a mul-berry
Southern medicine and surgery [serial] . e gall-bladder, aligature has been placed around the cystic ductwhere it joins the common duct. that relief would have been broughtabout again had the operation not beenresorted to. One of our recent patientswas admitted in a desperate condition,suffering great pain. One grain of mor-phine was given without obtaining en-tire relief but chloroform had been givenwhile in transit to the hospital. He wasoperated upon immediately. There wasfound a tremendously distended gall bladder containing fluid mixed with pusand four rough stones the size of a mul-berry. A smaller stone could be felt inthe common duct which could not bemilked back into the gall bladder. Thiswas crushed and removed by the gallstone forceps. The swollen conditionin the region where the ducts enteredthe intestine led us to refrain from re-moving the gall bladder. We were surethat there was nothing passing throughthe duct. The patent was very jaun-diced. Had we removed the gall bladderwe would have defeated our purpose of. The gall bladder has been removed, the rawsurface covered, and a small cigarette drainhas been stitched over. relieving this condition by drainage, aswas shown by results that followed. Herallied from the operation promptly andhis condition remained good until he wasgiven food, when it passed through un-digested showing no bile stain. At thistime we gave him five grans of inspis-sated oxgall with each feeding for a fewdays when we were able to feed him hisown bile which was collected by absorp-tion with sterile gauze from the externalopening of the drainage fistulae. Thiswas squeezed out by the hands coveredwith sterile gloves into a sterile bottleand given with each feeding. On thetenth day following the operation, therebeing no sign of bile into the intestinaltract nor improvement in the patientscondition, we opened the wound and did December, 1924. ORIGINAL COMMUNICATIONS a jejuno-cholecystotomy at 9 p. m. withvery little shock (Fig. 2). We
Size: 1960px × 1275px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectmedicine, bookyear192
