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August 13, 1892

ON THE TREATMENT OF INJURIES OF THE ABDOMEN NOT REQUIRING SURGICAL OPERATIONS.Read in the Section of Surgery and Anatomy, at the Forty-third annual meeting of the American Medical Association, held in Detroit, Mich., June, 1892.

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JAMA. 1892;XIX(7):178-182. doi:10.1001/jama.1892.02420070002001a

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In practice the stubborn facts are daily demonstrated that the prognosis of wounds of the abdomen is very unfavorable, the diagnosis frequently obscure or recondite, and the results of treatment often unsatisfactory; especially so in the hands of the general practitioner. Hence, any account which gives the results of experience must be of interest to the profession, even if not of much value in itself. It is easy enough to theoretically draw the line between operable and non-operable cases in abdominal injuries, but in practice it is often the most difficult question to decide in the whole domain of surgery; especially where there are no external wounds o: bruises to serve as guides.

The well established fact, accepted by surgicu authorities of all ages, that the peritoneum is especially prone to become inflamed when it is lacerated, bruised or disturbed, or the ease with which an inflammation extends to it

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