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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    Experiment 43. Jan. 2. Full-grown mongrel. Weight, 40 lbs. Curvilinear incision under the right border of the ribs, and afterward jjined by one in the linea alba. Livei ex- posed and perforated by a blunt aseptic instrument as well as the excision of a nar- row but long triangle. The puncture was sewed upon both sides which arrested the hemorrhage completely. The excision was united by a running cat-gut suture ap- plied as in the previous experiment, which likewise arrested the flow from the sur- faces. In drawing the liver into view rupture of its capsule occurred in several places. Cavity washed out and closed. Tan. 3. Walking about. Took several ounces of milk in the morning but refused food at noon and evening. Urine loaded with bile. Feb. iS. Killed to obtain specimen. Post-mortem Liver marked by white lines at the points of rupture. Slight scars at the punctures. The excision was marked by an omental adhesion but otherwise unchanged. No evidence of peritonitis. Experiment 44. Jan. 2. Small white mongrel. Weight, 19 lbs. A hypodermic syringeful of bile was obtained from another dog and injected into the peritoneal cavity without the introduction of air. This was repeated a second time and each time followed by an exhibition of pain from the clog. The syringe was cautiously introduced, care being observed to try and insure the arrival of the bile in the peritoneal cavity, and from the impression it was apparently successful. Jan. 3. Refuses all food and lies quiet in one place. Jan. 4. Same. Jan. 15. Recovered, and killed for further examination. Post-mortem. Absolutely no signs were visible of auy change having occurred within the peritoneal cavity. Experiment 45. Jan. 29. Liver-colored mongrel. Weight, 32 lbs. Abdomen opened and the intestines exposed. The intestines were insufflated with air until thev were distended. The respirations became short and slow. Puncture was made into the large intestine, which was followed by an escape of air and thp collapse of the intestine, but only for a short distance beyond. This was repeated in the small intestines with the same le- sult. The stomach, which was likewise distended, was compressed, but no gas escaped till a puncture was made into it. The intestines were largely distended, and the occurrence of acute flexures prevented the ready escape of the air.
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