THE LARGE number of patients with chronic paraplegia inherited by the United States from World War II are posing problems for every specialty in medicine and surgery. Some of these, such as patients with medical, neurosurgical, urologic, orthopedic and sociologic problems, those with decubitus ulcers and those with the problem of rehabilitation, have been dealt with in a number of publications.1 Little has been mentioned of the problem of abdominal surgery,2 which, though it occurs less often, is nevertheless important in the over-all management of the cases.
Patients with severe neurologic defects and anesthesia below the level of injury, with their ubiquitous medical and urologic complications and bed sores, tax the diagnostic acumen and the judgment of the surgeon who is called to see those among them who are suspected of having abdominal conditions. It is intended to discuss this phase of the paraplegic management and to present
GREENFIELD J. ABDOMINAL OPERATIONS ON PATIENTS WITH CHRONIC PARAPLEGIAReport of Cases. Arch Surg. 1949;59(5):1077-1087. doi:10.1001/archsurg.1949.01240041087009