Sajous's analytical cyclopædia of practical medicine . ases of. thelatter disease, because the operationhas probably little influence upon theliver itself. Ascites and hydroperi-toneum from whatever cause may berelieved teinporarily by paracentesis. The incidental laparotomy withdrainage corrects the condition forthe time being-. We have to be par-ticularly careful to guard the peri-toneum against infection in many ofthese cases, for the reason that thecurrent of lymph is outward from theperitoneum, and it becomes exposedto various bacteria. When the cur-rent is inward, as in normal condi-tion
Sajous's analytical cyclopædia of practical medicine . ases of. thelatter disease, because the operationhas probably little influence upon theliver itself. Ascites and hydroperi-toneum from whatever cause may berelieved teinporarily by paracentesis. The incidental laparotomy withdrainage corrects the condition forthe time being-. We have to be par-ticularly careful to guard the peri-toneum against infection in many ofthese cases, for the reason that thecurrent of lymph is outward from theperitoneum, and it becomes exposedto various bacteria. When the cur-rent is inward, as in normal condi-tions; there is destruction of enteringbacteria by the action of blood- andbody- cells. Warning against removal of recenttuberculous effusions. .^11 patientsoperated on for tuberculous peri-tonitis within 2 months of its appar-ent onset have died, in the authorsexperience with 100 Onlyeffusions from 3 to 5 months oldshould be removed. There followsspontaneously a new, curative effu-sion. This is the view now held bymany clinicians. Gelpke (Corre-. Congenital Cysts of the Mesentery. {H. C. Dearer.)Annals of Surgery. ABDOMEN, SURGERY OF (MORRIS). 61 f. schweizer Aerzte, , 1918). Omentopexy or the Talma-Drum-mond operation has for its aim theestablishment of adhesions betweenthe omentum and parietal adhesions become filled withcapillary blood-vessels in time, andthe free network of small new vesselsconstitutes a venous anastomosisaround the area of obstructed circu-lation. This work may be done by in-troducing numerous pinpoint sutures,or by pulling- the omentum betweenthe transversalis fascia and the pos-terior sheath of the rectus muscle,andfixing it there. In addition to establishing a newcirculation by the roundabout way ofadhesions of the omentum, it is wellto scarify the cephalad surface of theliver and the corresponding perito-neum of the diaphragm. This maybe done very rapidly by the use of anailbrush with the bristles cut veryshort
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