The outlook in cases of general peritonitis from whatever cause has in the past been exceedingly gloomy, to state the prognosis mildly. A recent experience, however, would tend to show that with intelligent treatment at the hands of a bold surgeon, the result is not necessarily fatal. At a recent meeting of the Philadelphia County Medical Society, Dr. Ernest Laplace2 reported the case of a woman suffering from general septic peritonitis, secondary to appendicitis, in which, after the abdomen was opened, adhesions freed, lymph-exudation removed, the appendix resected, through-and-through irrigation of the peritoneal cavity was established, and continued steadily for seventy-two hours, at the rate of ten pints of normal salt solution at a temperature of 100 F., every fifteen minutes, making a total of 360 gallons. The patient recovered. This case seems sufficiently noteworthy to be deserving of more than passing notice. It may be contended that the
CONTINUOUS SALINE IRRIGATION FOR GENERAL SEPTIC PERITONITIS. JAMA. 1899;XXXIII(22):1366–1367. doi:10.1001/jama.1899.02450740054013
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