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February 5, 1887


JAMA. 1887;VIII(6):153-155. doi:10.1001/jama.1887.02391310013003

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In the Lancet, of Dec. II, 1886, Sir William MacCormac records the recovery of two cases of intraperitoneal rupture of the bladder—the first positive record, we believe, of recovery from this accident, after operation. In these cases abdominal section was performed very soon after the patients were admitted to St. Thomas's Hospital, and the rent in the bladder exposed and carefully closed by numerous interrupted silk sutures; after which the peritoneal cavity was washed out with warm boracic acid solution, and the external wound closed. As the rarity and almost inevitable fatality of the operation are well known, it may be interesting to examine more closely the records of the two cases, and the remarks of the distinguished surgeon under whose care they recovered, as there is considerable diversity in the treatment recommended in such cases. Catheterism, simply, has been practised, or washing out the peritoneal cavity from the side

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