On penetrating gunshot wounds of the abdomen : an experimental study and clinical review / by Aug. Schachner.

  • August Schachner
Date:
[1890]
Catalogue details

Licence: Public Domain Mark

Credit: On penetrating gunshot wounds of the abdomen : an experimental study and clinical review / by Aug. Schachner. 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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    wound of the intestine and a wound of the mesocolon involving a large vessel. The vessel was ligated and the intestinal wound treated with Lembert stitches, which arrested the hemorrhage from its edges. The cavity was flu&hed, mopped out, and closed, Given an injection of morphia and atropia, and removed in an excellent condition. Operation lasted l/« hour. Nov. 3. Lively, and takes food freely. Will again be referred to in another ex- periment. Experiment 25. Nov. 5. Full-grown dog. Weight, 49 lbs. Shot with a S. & W. pistol, .22 calibre. The ball entered to the right and above umbilicus, passing in a slanting manner downward toward the flanks. Cavity filled with blood. No intestinal wound. The spleen was of a very large size and lying in front of the intestines protected them from injury. The external surface of spleen received a grazing wound for which splenec- tomy was performed. The splenic root was ligated with a double ligature, but ad- ditional ligatures were required to arrest the haemorrhage. Cavity was flushed, mopped out and closed. Given fifteen minims Magendie's solution and whisky hypodermically and in a condition of shock removed to a warm place. Operation lasted 1 hour. Reaction very slowly ensued. Nov. 6. Drank a few ounces milk, but very weak. Nov. 7. Found dead this morning. Post-mortem. Abdominal cavity contained about a pint of bloody fluid and clots. Ligatures apparently intact. Splenic stump covered witli clots. Death from recurring haemorrhage. Experiment 26. Nov. 12. Full grown mongrel. Weight, 44 lbs. Shot with a S. & W. pistol, .22 calibre. Ball entered to the right and below the umbilicus, passing obliquely downward. Laparotomy revealed considerable haemorrhage and faecal extravasa- tion, four perforating wounds of the intestines and a grazing wound of the spleen. Intesiinal wounds closed with Lembert stitches. Splenic wound treated with a running suture; clots removed, cavity flushed, mopped out, and closed. Given fifteen minims Magendie's solution and whisky hypodermically, and removed, in a condition of shock, to a warm place, and external heat applied. Operation lasted nearly I hour. Reaction in 2 hours. Nov. 13. Refuses food, and lies in a quiet manner with retracted belly and an occasional groan. Temperature, 1010, respiration 20. Given twenty minums Ma- gendie's solution. Nov. 14. Died this morning. Post-mortem, several hours after death. Cavity contained about a half pint of bloody fluid. Intestines distended with gas and adherent. Intestinal wounds all sealed, excepting one which allowed the escape of fasces; splenic wound covered with lymph. The mesocolon contained a large rent which involved several small vessels. The dog was very old, which accounted for the ease with which the tis- sues tore. Death from an acute septic peritonitis. Experiment 27. Nov. 12. Full grown black dog. Weight, 41 lbs. Shot with a S. & W. pistol,
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