A surgical study : gastrotomy and gastrostomy / by J.H. Pooley.

  • Pooley, J. H. (James Henry), 1839-1897.
Date:
1876
Catalogue details

Licence: Public Domain Mark

Credit: A surgical study : gastrotomy and gastrostomy / by J.H. Pooley. 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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    metallic felt; the opening into the stomach was enlarged by the bistoury, and the spoon extrat^ti^d. The wound healed rap- idly, and the patient made a speedy recovery. He confessed that he had stolen the spoon, and swallowed it for the pur- pose of concealment. The name of the operator is not given. The case is (juoted from Sedillot, in Holmes's Surgery, 2d edition, Vol. IL, page 5o0. In 1854 a man in Iowa, in performing some tricks of leger- demain, allowed a bar of lead two inches long by upwards of six lines in diameter, and weighing one pound, to fall into the stomach. Dr. Belle, of Walpello, removed tlu* bar of lead by making an incision four inches in length from the um- bilicus to the false ribs, .some distance to the left of the me- dian line. The 0])ening made into the stomach was ju.st large enough to admit of the pjissago of tlie bar, and required ni) sutures, as it became immediately closed by the contrac- tion of the muscular fibres of the organ. Tlie external wound was stitched in the usual manner. No untoward 0 .symj)toms occurred, and the man recovered in less than a fortnight. (See (iross’s Surgery, Vol. 11., page (ilO.) The following case is taken from “(Jiinther Blutige Opera- tionen am Mensclilichen Kbrper, Vierte Abtheilung, p. 27,” and is rather unsatisfactory from its brevity and w'ant of references. It is giveii almost literally, just as it stands, being the sixth and last ca.se to which he refers in his list of cases of this operation, (“b”) “Gliick in America, 1856: a cath- eter, which was about to be used for injection into the trachea, passed through the oesojdiagus into the stomach; gastrotomy; death.” This, as far as 1 know, is the only fatal case on record. The last two cases are the only ones I have been able to find in which this operation h:is been performed in this country. The first thing that .strikes one upon a review of. the eleven cases thus brought together, is the astonishing fact that out of the whole number only one death is recorded—a re.sult