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Article
August 30, 1924

Local Anaesthesia Methods and Results in Abdominal Surgery.

JAMA. 1924;83(9):706. doi:10.1001/jama.1924.02660090052027

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Abstract

This work is divided into a general part and a special part. The first begins with a historical introduction, including the development of local anesthesia in abdominal surgery. It then points out the importance of local anesthesia as influenceing the results of abdominal operations; takes up the indications and contraindications of local anesthesia; discusses the various solutions and technics of injections, and discusses the sensibilities and innervation of the abdominal cavity and the method of anesthetizing in abdominal wall anesthesia; conductive anesthesia of the mesenteries; paravertebral anesthesia; splanchnic anesthesia according to Kappis; splanchnic anesthesia with open abdomen according to Braun; parasacral anesthesia; epidural anesthesia (sacral anesthesia), and lumbar anesthesia. The second goes into the detailed technic of local anesthesia in various operations, grouping these into three classes: (1) minor operations; (2) operations of medium severity, such as operations for the various types of external hernia, appendicitis and exploratory laparotomy, and

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