The practice of surgery . - be withdrawn in a few days, after which thefistula usually will close spontaneously. In the after-treatment ofthese wide appendicitis wounds far more care and attention to detailare demanded than after the simple early operation. In the compli-. Fig. 12.—Appendix under cecum; pregnant uterus. Note walling off with gauze. Gated cases the abdominal wall must not be stitched up closely, thoughtwo or three through-and-through stitches at the ends of the wound areallowable; a large opening must be left for free drainage. For the firstday or two exudate escapes copiously;
The practice of surgery . - be withdrawn in a few days, after which thefistula usually will close spontaneously. In the after-treatment ofthese wide appendicitis wounds far more care and attention to detailare demanded than after the simple early operation. In the compli-. Fig. 12.—Appendix under cecum; pregnant uterus. Note walling off with gauze. Gated cases the abdominal wall must not be stitched up closely, thoughtwo or three through-and-through stitches at the ends of the wound areallowable; a large opening must be left for free drainage. For the firstday or two exudate escapes copiously; gradually the amount diminishes,and gradually the wicks loosen. B}- the end of five days or a weekthe wicks may be withdrawn easily, and shorter, fresh ones not draw the wicks out roughly so long as they remain adherent tothe viscera. Commonly, the wicks are all out and the wound granulat-ing superficially at the end of three or four weeks. A weak scar results, TREATMENT OF APPENDICITIS 39 sometimes subject to hernia, of which the patient must be warned;and sometimes a subsequent operation for hernia is necessary. ThereguUition of the bowels and of the diet does not differ materially fromthat already described; but in these cases, with large wound
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
