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February 27, 1943

A METHOD FOR INTRODUCING SULFANILAMIDE INTO THE PERITONEAL CAVITY

Author Affiliations

MEDICAL CORPS, UNITED STATES ARMY

From the Surgical Service, Walter Reed General Hospital, Washington, D. C.

JAMA. 1943;121(9):666. doi:10.1001/jama.1943.62840090001011
Abstract

The value of sulfanilamide in the peritoneal cavity in intraperitoneal infection is well established. It is particularly important to place the crystals at the site of severest infection at which the highest concentration is desirable. The site of severest infection is usually the point of greatest contamination, which, in cases of perforated retrocecal or pelvic appendicitis, may be high in the right lumbar gutter or low in the pelvis. Unfortunately, it may be difficult or impossible to deposit the crystals at the desired point in patients operated on through a McBurney incision.

The introduction of the crystals high in the right lumbar gutter or low in the pelvis presents a mechanical problem which can be simply solved by the following procedure:

PROCEDURE  The gauze packing in a cigaret drain is pulled back from one end for a distance of 2 inches and sulfanilamide crystals are poured into this end of

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