Transactions of the Southern Surgical and Gynecological Association . a pathological condition, such for instance are theadhesions forming after abdominal section. These adhesionsare hurtful in that they may produce (1) painful peristalsis;(2) constant pain; or even (3) ileus. So common is it foradhesions to form after an abdominal section that the Amer-ican Text-booh of Gynecology says they always occur. The occurrence of adhesions was forcibly impressed on mymind in the case of a negro woman from whom I removed anintraligamentous growth. After hulling out the tumor, thebed seemed clean and f
Transactions of the Southern Surgical and Gynecological Association . a pathological condition, such for instance are theadhesions forming after abdominal section. These adhesionsare hurtful in that they may produce (1) painful peristalsis;(2) constant pain; or even (3) ileus. So common is it foradhesions to form after an abdominal section that the Amer-ican Text-booh of Gynecology says they always occur. The occurrence of adhesions was forcibly impressed on mymind in the case of a negro woman from whom I removed anintraligamentous growth. After hulling out the tumor, thebed seemed clean and free from hemorrhage, and I did not J. W. LONG. 291 regard it necessary to close the parts. Four days after theoperation I was compelled to reopen the abdomen, because ofa leaking intestinal wound, when I found that coils of smallintestine had fallen down into the cavity from which I hadremoved the tumor, and were densely adherent. Had I takenthe precaution to bring the edges of the ligamentous woundtogether the intestines could not have got into the place. Fig. Adhesions sometimes form at a very limited point that is notcovered by peritoneum. I recall an instance of this kind ina case where I assisted my colleague, Dr. Johnston, to do asecondary abdominal section on a young lady, whose tubesand ovaries had been removed by another surgeon, because ofepilepsy occurring at the time of her periods. The first oper-ation had been done by a skilful surgeon, but her periods andthe epileptic seizures continued, and the womaus mind wasrapidly becoming a blank. Dr. Johnston opened the abdo-men and found that the former operation had been a veryclean and perfect one, and the only pathological lesion to befound was the adhesion of two coils of intestines to the stumpof the right tube. These he carefully freed, covered the abraded surfaces of 292 PLASTIC WORK IN ABDOMINAL SURGERY. the intestine, touched the stump of the tube with the Paquelincautery, and closed the abdomen without draina
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