. Hospital Bulletin . 5, for operations onthe stomach and gall-bladder, and it afforded anexcellent exposure. Case I—Incised Wound of the , II. W, aged 25, colored, laborer, wasadmitted through the Accident Department Sep-tember 26, 1915, at 11 P. M., suffering from anextensive wound of the upper part of the abdo-men and partial disembowelment. Patient gives history of having been cut with a razor byan unknown party just before entering the 1 -pital. Past history is of no interest. At the time of admission the patient was suf-fering with violent pain, and with some hemor-
. Hospital Bulletin . 5, for operations onthe stomach and gall-bladder, and it afforded anexcellent exposure. Case I—Incised Wound of the , II. W, aged 25, colored, laborer, wasadmitted through the Accident Department Sep-tember 26, 1915, at 11 P. M., suffering from anextensive wound of the upper part of the abdo-men and partial disembowelment. Patient gives history of having been cut with a razor byan unknown party just before entering the 1 -pital. Past history is of no interest. At the time of admission the patient was suf-fering with violent pain, and with some hemor-rhage. However, the patient had been bleedingconsiderably, as was seen by his clothing. A hur-ried examination revealed a long laceration inthe upper abdominal wall, through which a largequantity of large and small intestines had escapedand were lying out on the abdominal wall. Pulse 80 and of good volume. A large dose ofmorphine was administered and operation institutedat once. After the intestines had been covered. Razor cut of abdomen, wounding liver in two places: with warm, moist, sterile towels, the patient wastaken to the operating-room and anesthetized withether, drop method. No attempt was made tosterilize the abdominal wall. Alter sterile sheetshad been applied the intestines were flushed withwarm salt solution; perforation was sought none found. The transverse colon and abouthalf of the small intestines were out of the ab-dominal cavity. They were replaced in theabdominal cavity, and then the extent of theinjury could be seen. The skin, fasciae, musclesand peritoneum were lacerated from the sixthcostal space on the left side, beginning at theanterior axillary line and extending transverselyacross the abdomen and slightly downward toabout the seventh interspace on the opposite costal cartilage was cut on both sides. Theround ligament of the liver was also cut, andabout a six-inch incision, involving both lobes ofthe liver and to the depth of about o
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