Savannah morning news. [volume] (Savannah) 1868-1887, 1881-08-09
AGAIN UNDER THE KNIFE.
ANOTHER OPERATION PER
FORMED.
The Pati-nt Etherixed A Second
Pus Cavity FOrmed-An IneIsIOn
Made and the Flow Resumed-The
President Doing Well Under the
Circumstances.

WASHINGTON, August s.-The following
has been sent by Secretary Blaine to
Minister Lowell, at London: "During
the past three days the President has
periodically experienced q rise of tempe
rsture, indicating another obstruction to
the flow of pus. A surgical operation was
performed at O'Clock this morning by DIR.
Agnew, assisted by all the surgeons in at
tendance, by which free communication be-
tween the pus cavities and the surface of
the body has been effectually established.
The operation was performed under the in
iuence of either. The President endured 1t
well, and at this hour-hslf-past lois
doing as well as could be hoped for.
THE MORNING BULLETIN.
EXECUTIVE MANSION, $50 A. NJ. TOdicial
Bulletin The President passed a comfort
able night and slept well without anodyne.
The rise OF temperature OF yesterday
afternoon subsided during the evening
and did not recur at any time through the
night. At present he appears better than
yesterday morning. Pulse, "a; tempera-
ture, 9S 4; respiration, Is.
UNDER THE KNIFE.
10:45 A. M. Unofficial Bulletin An
operation, the exact nature of which can
not at present be ascertained, was perform
ed upon the President this forenoon. The
results were entirely satisfactory, and an Of
ticIal bulletin with details is now in course
Of preparation and will be ready within half
an hour.
ANOTHER OPERATION.
1870 A. Mt having become necessary
to make further opening to facilitate the
escape of pus, advantage was taken Of the
improved condition OF the President this
morning. Shortly after the morning bulle-
tin was issued he was etherized. IT Q in
cision extended downward and forward,
and counter opening was made into the
track Of the ball below the margin OF the
twelfth rib. " ich, 1t is believed, will effect
the desired object. He bore the operation
well. He has now recovered from the
effects OF the etheriz1tion, and is In excel
lent condition.
THE OPERATION AND WHY 1T wAs PER-
FORMED.
1PM Unofficial Bulletin. The neces-
sity for the operation, which was performed
upon the President this morning, became
apparent to the surgeons yesterday, when
they found that a drainage tube of the size
hitherto used could no longer be passed
along the track Of the ball between the ribs.
The process Of granulation at that point had
gone on so far as to partially close the
orihce, and the ribs prevented pushing aside
of the flesh, which was healing between
them, enough so that the tube could be in
troduced.
The result OF this state OF things was that
pUs formed In the deeper parts of the
wound rather faster than it could escape
through the half obstructed opening be-
tween the nbs, and its gradual accumula-
tion began to cause disturbance. L. was
therefore decided 10 make a new opening
into the track OF the ball below the last rib,
so that the ribs should no longer pre-
vent the keeping open OF the
wound 1by the sold backing which
they afforded to the grapulating flesh be-
tween them. The operation was performed
at the request Of the other surgeons by DR..
Agnew As soon as the patient had been
put under the influence of ether loog and
slightly curved instrument was introduced
into the wound, pushed between the ribs and
carried downward along the track of the
bullet until its end could be felt below the
last rib from the outside.
Holding this instrument in the wound as
a guide, DR.. Agnew then made a counter
incision below the twelfth rib, cutting
directly through the integument until his
knife met the end OF the first mentioned In
s.rument at the point where he wished to
intersect the track of the ball. The opera
ton was not difficult or
dangerous ore, and the patient bore
both it and the etherization extremely we'll.
There is now sn opening to the deeper parts
of the wound which does not pass between
the ribs, aud which can always be kept free
and unobstructed, and no further trouble
from the accumulation of pus is anticipated
Since the operation the President has rested
quietly and is now asleep. His pulse at this
hour is 100, and he has neither fever nor any
other unfavOrable symptoms.
DOING VERY WELL.
z P. NJ. [Oficial Bulletin After the
last bulletin was issued the President suf-
fered somewhat fora time from nausea, due
to the ether, but this has now subsidized. He
has had several refreshing maps, and his
general condition is even better than might
have been expected after the etherizaion
and the operation. At noon his pulse was
104. temperature 1902, respiration 20. At
present his pulse is l0S, temperature 10l 9,
respiration l9. Under the circumstances
the fever must be regarded as moderate.