On penetrating gunshot wounds of the abdomen : an experimental study and clinical review / by Aug. Schachner.
- August Schachner
- Date:
- [1890]
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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![.22 calibre. Ball entered below and to the right of umbilicus. laparotomy re- vealed the ball lodged immediately under the peritoneum, having failed to enter the peritoneal cavity. Shot a second time, the ball entering at about the same place. Cavity soon filled with blood, which was found to come from a mesenteric artery. The vessel ligated and the examination continued. Eight perforations were found in the intestines. Intestinal wounds closed with Lembert siitches. Cavity flooded and mopped out. The operation lasted nearly i hour. Extravasation of liquid feces occurred. Given ten minims of Magendie's solution and whisky, hypodermi- cally, and removed in an excellent condition. Nov. 13. Lively and took several ounces of milk. Nov. 14. Same. Nov. 22. Continued in good condition up to his escape from the hospital. Re- covered. Experiment 28. Nov. 16. Full growu black mongrel. Weight, 40 lbs. Shot with a S. & W. pis- tol, .22 calibre. Ball entered on a level with and to the left of umbilicus. Lapar- otomy revealed considerable haemorrhage, eight perforating intestinal wounds, two of which involved the mesenteric border, a wound of the spleen and one of the mes- entery, involving a vessel. The mesenteric wound was treated with a ligature. Wound of the spleen closed by a running suture upon both sides. Lembert sutures were used to close the intestinal wounds, excepting those on the mesenteric edge, which were closed by the continued suture, drawing up a loose fold of the mesen- tery near the intestinal border to assist in the closure. Cavity flushed and closed. Given ten minims of Magendie's solution and whisky, hypodermically. Removed to the kennel in a good condition. Operation lasted I hour. Nov. 17. Refuses food and lays about in a drowsy manner. Evening tempera- ture, 101.50. Nov. 18. Same. Nov. 19. Temperature, 1020; still refusing food and indifferent to everything. Late in the evening, the dog in a very much depressed condition was again placed upon the table, and after stimulation with whisky and digitalis, again opened. The cavity contained about a halt pint of purulent fluid, which was carefully moppet out; intestines highly inflamed and fragile. Several small non-perforating rents near the]mesenteric border had ulcerated through. These were closed by the Czerny Lembert suture; the cavity flushed with a hot 1:10000 solution of bichloride, and mopped out. This was repeated with hot sterilized water, an-I again mopped out and closed. Operation lasted I hour. Nov. 20. Found dead. Post-mortem. Abdominal cavity contained about three ounces of purulent fluid. Intestines matted together with adherent omentum. Spleen marked with a dark spot beneath the suture. In the left hypochondriac region was found a small sponge, enclosed in a pocket formed by the adherent intestines and omentum which was overlooked in the first operation. The end was largely determined by the cold room during the night. Death from septic peritonitis. Experiment 29. Nov. 23. Medium sized mongrel. Weight, 36 lbs. Shot with a S. & W. pistol, .22 calibre. Ball entered one inch below and three inches to the left of umbilicus.](https://iiif.wellcomecollection.org/image/b22303443_0044.jp2/full/800%2C/0/default.jpg)
