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Article
January 12, 1889

LAPAROTOMY IN GUN-SHOT WOUNDS OF THE ABDOMEN.

JAMA. 1889;XII(2):54-55. doi:10.1001/jama.1889.02400790018003
Abstract

In the columns of a recent number of our valued contemporary, the Boston Medical and Surgical Journal, there appears an article on this subject by Dr. W. B. Coley, who publishes an interesting series of tables relating to the treatment of these wounds. He has collected 74 cases and he divides them into three classes: 1, those operated upon within the first twelve hours; 2, those operated upon after twelve hours; 3, those in which the time is not stated. He quotes 39 cases in the first class, with a percentage of recoveries of 46.6 per cent. In the second class he quotes 22 cases, with a percentage of recoveries of 22.7 per cent. Class 3 contains 13 cases, with a percentage of recoveries of 57 per cent.

Dr. Coley refers to the opinions of M. Reclus, who claims that his experiments show that perforation is not necessarily present, and

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