. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. ital), can beaccomplished in much less time and has proved, in the few cases inwhich we have employed it, to be equally effective, and preferableto the more formidable measures. The method is as follows: Anincision is made as directly over the source of infection as possible—a one-and-one-half to two-inch incision is sufficient for this the purulent fluid is found free in the abdominal cavity, no attemptis mad
. Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons. ital), can beaccomplished in much less time and has proved, in the few cases inwhich we have employed it, to be equally effective, and preferableto the more formidable measures. The method is as follows: Anincision is made as directly over the source of infection as possible—a one-and-one-half to two-inch incision is sufficient for this the purulent fluid is found free in the abdominal cavity, no attemptis made to discover its source. Through the incision a large glasstube, one inch in diameter and twelve inches long, is this is poured a large quantity of normal salt solution ashot as can be borne with comfort on the back of the hand. Flushingis kept up until the fluid returns from all portions of the peritoneal cav- 72 POSTOPERATIVE TREATMENT. ity quite clear. The tube is then removed, the excess of fluid permittedto escape, and three or four gauze drains are placed in different direc-tions in the abdomen. A very large quantity of salt solution is used. Fig. 2.—Two Way Abdominal Irrigator. Illustrating the method of connecting it and holding it so as to control both inflow and outflow. Devised by Blake and employed at the Roosevelt hospital for flushing and cleansing the peritoneal cavity. —20 to 25 two-quart bottles in a single operation. If this method iscarried out accurately, it is believed that the toxic dose is reduced to theminimum with the least traumatism to the peritoneum. J. B. Murphy, of Chicago, has recently called attention to the value POSTOPERATIVE COMPLICATIONS. 73 of introducing large quantities of water into the rectum by means ofa constant though slow and gentle flow. The patient is placed inFowlers position and a nozzle, perforated in three or four places andattached to a container by rubber tubing, is inserted into the bowelthrough the
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