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Article
May 4, 1907

PERITONITIS AND THE ABSORPTION OF BACTERIA FROM THE PERITONEAL CAVITY.

JAMA. 1907;XLVIII(18):1528-1529. doi:10.1001/jama.1907.02520440060005
Abstract

A series of experiments on the processes of absorption from the peritoneal cavity, by Dr. B. H. Buxton,1 have yielded results which are of great interest in connection with the problems of the treatment of peritonitis, supporting strongly the growing tendency of many surgeons to reduce intra-abdominal manipulations to a minimum. The favorable results of the semi-sitting posture, and the claimed disadvantages of peritoneal irrigation are also explained clearly by the observations on experimental animals. These experiments demonstrate the extreme rapidity with which bacteria injected into the peritoneal cavity are taken up; within five minutes they are found in the blood in great numbers, and in smaller numbers in the liver and spleen. Even greater numbers are found in the lymph nodes of the anterior mediastinum, which they reach from the diaphragm, where absorption occurs chiefly and most rapidly. A large number of bacteria are also entangled by a

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