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May 7, 1898


JAMA. 1898;XXX(19):1117-1119. doi:10.1001/jama.1898.02440710049004

In a critical review of 1700 cases of abdominal section from the standpoint of intraperitoneal drainage, published by Dr. J. G. Clark,1 resident gynecologist of the Johns Hopkins Hospital, the objections to intraperitoneal drainage have been brought forward in a very clear and convincing manner.

Having considered quite extensively the physiology and anatomy of the peritoneum, with a view to bringing out its capacity for the absorption of fluids and solid particles from the peritoneal cavity and for disposing of irritant and infectious material, the following objections to drainage after abdominal section are considered.

Trauma and chemical irritation produced by the drainage material.  —The effect of a foreign body upon the peritoneum is to cause endothelial destruction and inflammatory reaction. Anyone who is in the habit of making postmortem examinations will have observed that there is usually a much more intense inflammatory reaction around iodoformized and other forms of