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August 26, 1899


Author Affiliations


JAMA. 1899;XXXIII(9):508-510. doi:10.1001/jama.1899.92450610010001b

The fate of the vast majority of patients subjected to abdominal section is sealed when the incision is closed. Many will recover without any especial skill being required in their subsequent treatment, others are doomed to die in spite of the most judicious care that can be given them; but in some cases the result is determined by the after-treatment. The days and nights immediately following operation are, for the patient, ones of extreme discomfort. It is not unusual to hear her say : "Had I known what I must suffer, I should never have had it done." A subject that concerns the lives of some and the comfort of many of our patients seems tO me to be worthy of more consideration at the hands of operators than it has received in recent years.

The indications for treatment after abdominal section are to secure reaction from shock; to arrest secondary hemorrhage should it occur; to combat sepsis, if need be; to administer proper nourishment, and to make the patient as comfortable as possible without interfering with her recovery. Ordinarily reaction from shock occurs without much assistance, wrapping the patient in warm blankets and surrounding her with hot water bags is all that is required. There can, however

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