Report of seven cases of abdominal surgery in which the Murphy button was applied / by A. Vander Veer.
- Vander Veer, A. (Albert), 1841-1929.
- Date:
- 1896
Licence: Public Domain Mark
Credit: Report of seven cases of abdominal surgery in which the Murphy button was applied / by A. Vander Veer. 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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![she had vomited contents of stomach, and had had a slight move- ment of the bowels, but none since. Vomited once on Sunday, and once at twelve o’clock on Monday, a yellowish substance, also some portions quite dark in color; had passed .some gas from bowels during past forty-eight hours. There was a strong incli- nation to eructation of gas; able to take very little food; was not thirsty, and drunk but little. Had had three compound cathartic jhlls without causing a positive movement of bowels; required a moderate amount of morphia to get re.st and relief from pain. Her condition of pulse was 88; temperature had been 101°, but now normal; tongue moist and clean; eyes had a sunken ajipeanincc, and there was rather an an.xious expre.«sion of coun- tenance; abdomen .soft, excc])t in immediate vicinity of umbilicus. Tumor greatly inllamed and prc.senting signs not unlike an acute abscc.ss. Amount and condition of urine normal. There was no distension of abdomen nor the appearance of complete ob- struction. I ordered the jiatient removed to Albany Hospital on midnight train on account of her surroundings. She entered the hospital on the morning of the 8th of October, at three o’clock, and operation done at 10 A. M. Tumor, size of cocoauut, in imme- diate vicinity of umbilicus; portion, size of a silver dollar, impli- cating umbilicus, in a gangrenous condition. On making an incision there was found a strangulated hernia; many old and firm adhesions. Pj^ritoneum inten.sely congested, very dark in color. Loop of small intestines included iu tumor gangren- ous for sjiaee of ten inches. Ves.sels in me.sentery .secured, and this portion of inte.stine exci.sed. Murphy button u.sed for end- to-end anastomosis. Two Ijcmbert sutures made use of outside of button. Gangrenous inte.stine, large portion omentum, some mesentery and jieritoneum removed with ma.ss. Wound closed by .silk-worm gut sutures; no drainage. After operation patient vomited dark, greenish fluid, and complained of severe pain in the back. Secretion of urine continued normal. Complained of considerable nausea, and continued to vomit at intervals a green- ish fluid, from two to six ounces in quantity. At 3:15 i*. M. on the 9th she had a large movement from bowels, evidently from that ])ortion below the point of anastomosis. After this vomited a small quantity of clear fluid, .still complaining of di.stress iu stomach. At 7:15 i*. M. of the 9th had another small move-](https://iiif.wellcomecollection.org/image/b22446758_0012.jp2/full/800%2C/0/default.jpg)
