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.
4/15 page 2
![9 upon which we operate where more ra|)id thought ami best judg- ment !.•< to be em])loyed than in abdominal work. Tlie best metliods for meeting tins and tluit coin])lication must be adopted at once. Tliere can be no great delay; temporary dressings can not be applied for tlie time being; e.xpectant surgery has no field here. We must meet the emergencies, and J desire to empha- .size that much is still wanting in discussions occurring in our special societies ; we need less from a thcoreticral standpoint and more of j»ractical experience, 'riierefore, in prc.sentiug the follow- ing cases, with such remarks as each one .seems to call for, I am desirous .simply of placing on record facts which may as.sist in future operations, and aid us in our final determination of certain ])rocedures when conditions present that reipiire their employ- ment. It is .seldom that .so small a group of ca.ses cover .so wide a range of |)athological conditions. There can be no doul)t l)Ut that the consensus of o])inion to- day, among o|)erating surgeons dealing with abdominal cases, is that when we come to iute.stinal anastomosis our patient is not infrcfpiently in a serious comlition as regards strength, and all things being ecpial, that method which will give the most rapid and .safe manner of ju'ocedure is the one that is to claim our attention. Rapidity of action at such a time is absolutely neces- .sary, and yet with it must be combined thorough .safety. If with carefully reported cases, when .some new surgical pro- cedure is on trial, we could haw also a rejiort of the same ca.ses later on as to results, etc., we could then reach a more hone.st and clear conclusion than is .sometimes accomplished. C’ase 1 : Gastro-intestinal anastomosis for carcinoma of the pyloric end of the stcunach. Mrs. J. C., aged sixty-five years; widow; six months’ pro- nounced symptoms of carcinoma of the pyloric end of the stom- ach. Family history good; pretty continuous vomiting, at times in large quantities; emaciation very j)ronounced; much pain and suffering. Patient very desirous of an operation, although dis- tinctly told that the chances were decidedly against her, as she had for some time realized. All other organs in a healthy con- dition. An ana.stomosis made by means of the medium-sized Murphy button, between the upper end of the jejunum and greater curva-](https://iiif.wellcomecollection.org/image/b22446758_0006.jp2/full/800%2C/0/default.jpg)
