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March 4, 1905


JAMA. 1905;XLIV(9):702-705. doi:10.1001/jama.1905.92500360028002h

There is a class of abdominal cases which may justly be considered acute. Acute for the reason that the indications for immediate surgery are mandatory and in which the mortality largely depends on the time of operation and the technic of the work. Under this heading I wish to discuss:

1. Penetrating gunshot and stab wounds of the abdomen.

2. Severe abdominal contusions associated with rupture of the intestines or with other visceral injuries.

3. Strangulated hernia.

I shall confine myself as closely as possible to a consideration of the operative technic.

PENETRATING GUNSHOT AND STAB WOUNDS OF THE ABDOMEN.  At the last meeting of this Association I presented in detail a series of cases of gunshot and stab wounds of the abdomen on which I had operated at the St. Louis City Hospital. In that paper I endeavored to show the impossibility of determining the damage done to abdominal

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