The surgical diseases and injuries of the stomach and intestines / by F. Bowreman Jessettt.

  • Jessett, F. Bowreman (Frederic Bowreman)
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: The surgical diseases and injuries of the stomach and intestines / by F. Bowreman Jessettt. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    being sustained entirely by beef-tea, port wine, and brandy enemata and zyminized beef suppositories, given every four hours alternately. Preparatory to the operation the abdominal wall was ordered to be well washed twice a day, for two days, with a 10 per cent, solution of liquor potassse and water; after which a pad soaked in 1 in 3,000 solution of perchloride of mercury was kept constantly applied. The night before the operation the stomach was washed out with a weak solution of salicylate of soda and water. In the morning she was given a beef-tea (^iij.) and brandy (3].) enema, and half an hour before the operation an enema of beef-tea (gij.) and brandy (51]'.) was administered. When the patient was on the table a hypodermic injection of ~ gr. of atropine was given.* Operation.—August 4th : Two hot-water cushions being placed on the table and covered with warm blankets, and the patient being placed thereon, Dr. English proceeded to administer ether, and Mr. Elam kindly assisted me in the operation. An incision 8 inches long was made in the middle line from the umbilicus upwards through the abdominal parietes, which were so very thin that the peritoneum was cut down upon directly, and no bleeding points required catching. The peritoneum was divided the whole length of the parietal incision, and caught in three places on each side with pressure forceps. The tumour in the pylorus was seized and readily brought out through the wound; it being found to be perfectly free from all surrounding organs, I determined to remove it. A cloth wrung out in warm carbolized water was packed round the growth, which was found to extend for about 4 or 5 inches on to the walls of the stomach. I next, with an aneurysm needle armed with No. 1 chromic gut, ligatured the vessels running along the larger and smaller curvature of the stomach, a httle to the left of * Lancet, Oct. 24, 1881, p. 921. 3