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August 29, 1908


JAMA. 1908;LI(9):739-741. doi:10.1001/jama.1908.25410090021001e

Recent discussions on the preparatory and after-treatment of abdominal section have shown great disparity of opinion. Some advise a thorough and extended course of preparatory treatment, including medication, dieting, free purgation, etc., while others condemn everything in the nature of a delay or of a change from the patient's ordinary mode of living. After operation some advise the withholding of even water for 24 hours and solid foods for a week, and the maintenance of a recumbent position for two or three weeks, while others give solid food as soon as the effect of the anesthetic has passed off, and get the patient out of bed on the second day. Some give opiates in the majority of cases, others give none; some allow the bowels to become constipated, others begin with laxatives as soon as the patient can take them. When doctors disagree so radically, who shall decide? In order

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