The high mortality from general suppurative peritonitis is a problem with which every internist and surgeon has been confronted. Any procedure that promises a reduction in this mortality is worthy of serious study.
The results in general purulent peritonitis rest entirely on the ability of the peritoneum to overcome the particular infection; and treatment consists in affording the peritoneum every possible aid in the performance of this protective function. Such aid may be summed up under four heads: (1) removal of the focus of infection; (2) rest of the peritoneum by the greatest possible elimination of peristalsis; (3) placing parenterally at the disposal of the body, fluid and nourishment, and (4) increasing the blood supply to the peritoneum by the local application of heat. Somewhat the same may be said of the treatment of intestinal obstruction, although here is recognized the predominating factor of a definite source of toxemia to
LEHMAN EP, COPHER GH. LYMPHATICOSTOMY: AN EXPERIMENTAL AND CLINICAL STUDY OF THORACIC DUCT DRAINAGE IN GENERAL PERITONITIS. Arch Surg. 1925;10(2):742–750. doi:10.1001/archsurg.1925.01120110142006
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