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July 5, 1890


JAMA. 1890;XV(1):36-37. doi:10.1001/jama.1890.02410270052010

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(FROM OUR REGULAR CORRESPONDENT.)  One of the Causes of non-success observed after Laparotomy performed for Internal Strangulation — Treatment of the Congestive states of the Brain —Autographism—Cure of a Case of Traumatic Tetanus—Chloroform Vapor as an Antiseptic.In a communication made by Dr. Duret to the Congress of French Surgery on the utility of washing out the stomach in the cases of laparotomy for internal strangulation, the author pointed out that as a principle, one of the causes of non-success observed after laparotomy performed for internal strangulation, was the defect of intestinal antisepsis. The septic liquids of the digestive tube transude into the peritoneum. In support of the preceding doctrine, the author communicated the following case: A man, æt. 57 years, presenting all the signs of internal strangulation, such as fæcaloid vomiting, meteorism and hypothermia. The strangulation had commenced four days previously, and futile attempts had been made to

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