. American practice of surgery ; a complete system of the science and art of surgery . , will i)oint to lesions sufficiently serious to require surgicalinter^-ention. Pain, rigidity, and rapid pulse are perhaps the most significantsymptoms. Moynihan lays special stress on a progressive increase in the pulserate as a diagnostic sign. In injuries of the intestine, where operation is demanded, the earlier it isexecuted the lower the mortality will be. It was shown by Senn in his experi-mental and clinical work that success in these cases is in inverse ratio to the timeallowed to elapse between th
. American practice of surgery ; a complete system of the science and art of surgery . , will i)oint to lesions sufficiently serious to require surgicalinter^-ention. Pain, rigidity, and rapid pulse are perhaps the most significantsymptoms. Moynihan lays special stress on a progressive increase in the pulserate as a diagnostic sign. In injuries of the intestine, where operation is demanded, the earlier it isexecuted the lower the mortality will be. It was shown by Senn in his experi-mental and clinical work that success in these cases is in inverse ratio to the timeallowed to elapse between the time of injury and the operation. This is em-. FiG. 269.—Meckels Diverticulum. (Original.) phasized by Coley, who found a mortality of per cent in cases operated onwithin the first twelve hours and one of per cent in cases operated on laterthan that. Bibliography.—^^A-^arren, in Trans. Western Surg, and Gyn. Assn., 1905.—Curtis, in Annals of Surgery, 1887.—Andrews, in Surg., Gyn., and Ohst., June,1906.—Campbell, in Annals of Surgery, Nov., 1905. Foreign Bodies.—Foreign bodies may enter the intestine through thestomach, through the bile ducts, through the rectum, through an opening es-tablished by ulcerative action that has started in some other organ, or directlythrough the intestinal wall from the free peritoneal cavity, as a result of anabdominal operation. Mechanical devices used in intestinal repair may failto pass per anum and thus act as foreign bodies. The large majority, however,gain entrance through the stomach. Coins, buttons, tooth-picks, artificialteeth, pencils, knives, pins, and needles are the
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