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Article
September 7, 1918

ENTEROSTOMY AND ENTEROCOLOSTOMY: IN THE TREATMENT OF ACUTE INTESTINAL OBSTRUCTION FOLLOWING PELVIC OPERATIONS

Author Affiliations

PHILADELPHIA

JAMA. 1918;71(10):785-788. doi:10.1001/jama.1918.02600360001001
Abstract

Intestinal obstruction following abdominal section is such a distressing complication, the diagnosis is at times beset with so much difficulty, the prognosis is so doubtful, and the mortality so high, that I make no apology in bringing the matter to your attention.

The measures taken to prevent intestinal obstruction, such as the peritonealization of raw surfaces to which intestine may adhere, and the closure of all adventitious openings into which intestinal coils may slip, are commonly known and generally adopted. From personal observation and experience, in addition to the foregoing measures, I should like to emphasize the great importance of aseptic technic and the avoidance of intestinal trauma during the operation, and of judicious care in the handling of drainage and the administration of cathartics after the operation.

It is quite likely that an infection causing a localized peritonitis often plays a very important part in the origin of postoperative

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