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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![and the ends brought together by the Murphy button, making the operation exceedingly simple. Patient was very nervous for some time after the operation ; no vomiting; catheter was neces- sary, and the hypodermic use of morphia, as she had been accus- tomed to it before. On the third day there was a free movement of gas, and on the eighteenth day a well-formed movement of the bowels. Patient two days after this had two very decided convulsions, and then remained j>artially delirious for more than a week. Stools were watched carefully for appeai'ance of the button. On the nineteenth day, while in care of her daughter, she had three movements of the bowels, which were thrown away ] without being examined, and it is very likely that the button j passed at that time, as it was never found in stools passed after- j ward. Tills patient made a most remarkable recovery and is now j in absolute health, having gained more than twenty pounds in -f, flesh. She has had no convulsions since the few immediately ' after the operation, her abdomen seems soft and in good condi- j tion, and she apparently has made a perfect recovery. \ When I consider the case with which this operation was per- formed compared with some others in which I have done anasto- mosis by the older methods, I must express, myself as feeling exceedingly grateful to Dr. Murphy for his valuable contribution to intestinal anastomosis. Tliere are few more trying positions for the abdominal surgeqii than to come in contact with an abdominal tumor that necessitates resection of a portion of the small intestine. The operation is generally ong and tedious and patient much exhausted when the point is reached of spending one half or an hour in some other method of bringing together the ends of the intestine. The saving of the strength of the patient is here the great necessity. Case 5 : Anastomosis of gall-bladder with small intestine. Mrs. O., aged fifty-four; good family history, and patient in good health up to the summer of 1894, when, during July and August, she suffered some distress, supposing it to be due to her menopause. Last menstruation August, 1894. In September she had some attacks of gastric disturbance supposed to be simple congestion of the liver. Never had any severe colic ; no attacks like that of passing biliary calculi. The early part of September she developed quite a severe attack of sciatica, left side, from](https://iiif.wellcomecollection.org/image/b22446758_0010.jp2/full/800%2C/0/default.jpg)
