The diagnosis and medical treatment of acute intestinal obstruction / by Reginald H. Fitz.

  • Reginald Heber Fitz
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: The diagnosis and medical treatment of acute intestinal obstruction / by Reginald H. Fitz. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    It is thus evident that about one-half of the cases of twist took place at the sigmoid flexure, and that nearly one-third of them were present in the ileo- csecal region. It is further evident that, for all practical purposes, 87 % of the cases occurred in the large intestine. An absolute diagnosis of volvulus is only to be made by abdominal section, either before or after death. Death is, therefore, to be regarded as the probable result of this lesion unless the surgeon affords relief. This statement is made despite the fact that in five of the cases there was the previous history of a similar attack. Death occurred as follows in cases not treated surgically : — Date. 1st day .. 3rd “ .. 5th “ .. 7th “ .. 8 th “ .. 9th “ 12th “ .. Not given Number of cases. 1 2 O 0 «> 9 1 l *> o 15 The date and result of operative interference is given in the following table : — Date of operation. Svfl rtfi v Number of cases 9 Death. 1 Recovery 1 4th “ l 0 5th “ 3 2 ] 2 9 0 7th “ 1 1 0 qt Vi “ 6 10th “ 1 1 0 11th “ 1 1 . ... 0 16th “ 1 0 1 2fith “ ] 0 1 Not given 6 25 20 5 It is apparent from the above tables that all of
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