I am convinced that the Trendelenburg1 method of anesthetizing plays an important rôle in the prevention of postoperative ileus and shock, and therefore believe it worthy of consideration by this section.
It is a well known fact that trauma to the small intestine is one of the direct causes of postoperative shock and ileus. An experienced surgeon can often predict just which patient is going to have a stormy convalescence by the amount of trauma the small intestine has, of necessity, been subjected to during the operation; for trauma to the small intestine differs very much in its harmful effects from trauma to the other intra-abdominal organs. Indeed, some of the most comfortable patients we see after operation are those who have had resections of the large intestine, or extensive operations on the stomach, and some of the sickest are those with the quiet distended abdomens, regurgitation, restlessness and
GUTHRIE D. TRENDELENBURG ANESTHESIA IN SURGERY OF THE PELVIS. JAMA. 1919;73(6):388–390. doi:10.1001/jama.1919.02610320012003
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