Operative surgery of the gall tracts with original report of twenty successful cholecystenterostomies by means of the anastomosis button / by John B. Murphy.

  • John Benjamin Murphy
Date:
[1894], ©1894
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Licence: Public Domain Mark

Credit: Operative surgery of the gall tracts with original report of twenty successful cholecystenterostomies by means of the anastomosis button / by John B. Murphy. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    is strong and enjoying very good health. Several times within the last two weeks she has walked two miles without fatigue, 'iliere is no tenderness or pain at the seat of the operation. Case VI. History and particulars furnished by Dr. E. W. Lee, in whose practice this case occurred. Mrs. L , age forty- eight, married. At intervals in the last three years patient has suffered from severe attacks of colic, accompanied by nausea and often vomiting. The pain was always located in the right hypo- chondriac region and often in the 'pit of the stomach.' These at- tacks would last for several hours, and then would suddenly disap- pear, leaving a soreness at the seat of pain. They were never ac- companied by jaundice until the present attack, which began Feb- ruary 14, 1893, six days before operation. This attack was more severe and prolonged than any of the previous ones. The vomit- ing was very severe. The tenderness over the gall bladder was ex- treme. •'Operation February 20, 1893. Dr. E. W. Lee, assisted by Drs. Murphy, Hartmann and Wittwer, performed cholecystenter- ostomy by means of the button. The gall bladder was very i]iuch contracted, and there were many adhesions. The adhesions were separated and a medium sized button inserted, producing a perfect approximation. Seven small stones were removed at the time of the operation. The recovery was uneventful. Patient passed the button March 6, fourteen days after the operation. A number of small stones were passed subsequently. August 26, 1893. Patient has been able to work more since the operation than for three years previous. Has had no colic or digestive disturbances. Case VH. Dr. William J. Mayo, Rochester, Minnesota, in a personal letter furnished me the following history: W. H , Racine, Minn., American, male, aet. 71. Patient gave a history of colics for two years, jaundice for two months; great debility,, cholemia, white stools, etc. Operation April 6, 1893, by Dr. W. J. Mayo, assisted by Drs. C. H. Mayo and S. Plummer. Usual incision for operation on gall bladder. No stone found in gall bladder; obstruction in common duct. Cholecystenterostomy by Murphy button. Bladder could not be brought to surface, obstruction could not be removed ; the button was readily placed in position; no unpleasant S5'mptoms since the operation. This is a remarkable case on account of the age of the patient.