The practice of surgery . Fig. 10.—McBurneys operation (low). appendix with hemostats about J inch from the ligature. Cut awaywith the actual cautery the appendix, between the ligature and thehemostats.^ Drop back into the abdomen the cecum with the appendixstump, and follow it down with a gauze wick which must be left in placeas a drain. Do not leave the stump undrained, and do not sew up thewound. I believe sewing up to be a dangerous procedure; nothing -^9?,. Fig. 11.—Diagram showing delivery of cecum. is gained in time or strength of scar by so doing, and no man may saythat a nidus of infe
The practice of surgery . Fig. 10.—McBurneys operation (low). appendix with hemostats about J inch from the ligature. Cut awaywith the actual cautery the appendix, between the ligature and thehemostats.^ Drop back into the abdomen the cecum with the appendixstump, and follow it down with a gauze wick which must be left in placeas a drain. Do not leave the stump undrained, and do not sew up thewound. I believe sewing up to be a dangerous procedure; nothing -^9?,. Fig. 11.—Diagram showing delivery of cecum. is gained in time or strength of scar by so doing, and no man may saythat a nidus of infection does not remain which, if left undrained, willlead to disastrous results. If all goes well with the drained case, thewick may be removed at the end of forty-eight hours, the tissues willfall together, the external oblique aponeurosis and the skin may be ^ Note Houghs peritoneal band, running from the anterior iliac spine to thececum at the base of the appendix. 2 I shall mention later the debated question of treatment of the appendix stump. TREATMENT OF APPENDICITIS 35 stitched if one chooses, and convalescence will progress without disturb-ance and without resulting hernia. In the after-treatment of these early cases three factors are to be ob-served : rest, feeding, care of the bowels. The patient should be kept in bedfor at least twelve days; he should then begin to sit up a little every day,and by the end of three weeks he should be walking a
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
