Archives of Surgery, 1891, Vol. 2 (Classic Reprint)

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Excerpt from Archives of Surgery, 1891, Vol. 2Let us next ask what ought to be done if a gall-stone in the small intestine have been felt with reasonable certainty. My reply must be unequivocal, I would wait. There is far less danger in trusting to the Spontaneous escape of the Stone than in attempting its removal by laparotomy. I will go even further than this, and say that if after the surgeon has opened the abdomen and found an impacted gall-stone, I doubt whether he will always do wisely to at once incise the bowel and take it out. I. Should first try very patiently to squeeze it onwards, should try by injections whether it could not be reached from below, and only as a last expedient allow myself to be tempted to open the gut. The few cases in which the operation has been completed have not given very favourable results. It is not an operation which can possibly be done without some danger of its own.We have lastly to consider what ought to be done in cases of chronic obstruction which are possibly or probably due to gall-stone plugging. As already. Stated, emptiness of the ascending and transverse colon is the symptom which will chie¿y distinguish these from faecal blocks with or without organic stricture. Inasmuch as the smaller bowel is involved, the symptoms are likely to be less chronic and somewhat more severe. Than in the common run of the latter cases. As already repeatedly stated, colotomy, the ordinary resort in these, is here out of the question. The choice rests between a policy of waiting, with use of Opium, belladonna, and injections, and an Operation (enterotomy or exploration).About the PublisherForgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.comThis book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully, any imperfections that remain are intentionally left to preserve the state of such historical works.