The morning call., 1894-02-15
A STRANGE CASE.
An Operation Which Is
Seldom Recorded.
The Son of a Hayes-Street Florist
Operated Upon by Local
Physician With Success.

One Of the most successful surgical opera
tons that has been performed in San Francisco
for many months took place on sunday alter
noon on the 1S-year-od son of f. A. Miller, a
florist, at his home, 426 Hayes street.
On Friday of last week young Miller was
taken i'll. neighhoriDg physician WAS called
in and pronounced The case one OF ordinary
indigestion. but charged his opinion next day
and concluded the boy was seriously i'll. On
Friday night he grew worse, and on Saturday
night i was decided 10 call another physician
in consultation. On Sunday morning surgeon
was summoned, and upon examination con-
cluded that the boy was suffering from per-
fOrated appendix, which had resulted in a
Ian re abScess iu the righ groin. The only way
TO successfully combat the 10 scess was TO open
tine abdomen, remove the offensive matter and
close the periOratIon. That afternoon the
patient was chlor0f0rmed and tie parts were
tho oughly disinfected. alter which an obliq que
incision was made, four inches In length, above
and on line with the poupart> Iigament. The
skin was first laid open, afterward the super
fetal fascia, then the muscular layers, and
lastly an inciSion was made lnto and through
The peritoDeum, through which the abscess
buiged aud was at once DeTceDlible to the eye.
To prevent The aDscess from breaking into the
petitoneal cavity the pus was drawn out by IA
syringe, after which, tn cavity was cieansed
with an aDtisepttc fluid until all odor disap-
peare6. The dissection was then continued
down TO the bottom OF the abscess and the blind
pouch OF the colon was raised and brought TO
point between the aitacbm mt OF the appendix
vermiformis and the ceacum. he appendix
was cut of the slOughed surfaces were scraped,
thoroughly dlsIDfectrd and The edges OF the
wound invaglnaled ana sewed in such manner
tEat The Serious suri ces were properly adapted
to each other. The portions of he Omeutum
which were gang enous were Tied of above The
slough aud then cut OF, after which the entire
cavity was again disin1ecIed and filled with
gauZe. Two large drainage tubes were Inserted
at the upper and lower angle of the wound to
insure drainage, which Is one OF the most im-
portant features. The wound was then band.
aged and the operation was completed.
Mrs. Miller, the mother OF The boy, says that
she is much surprised at the success of tie
operation.
The attending physician in speaking of the
case, said: The patient has suffered no par
tcuar inconvenience, and rests well every
night His temperature is never higher than
1O012, and the principal treatment consists in
washing out the abdominal cavity with an anti
septic solution, so as TO guard against any pos
sible infection.
at il a very unusual case in this way that the
abscess had serious y affected large portion of
The bowels sloughe1 of portion of the omen
tum aud also involving The perlloneal lining Oh
covering OF he lower part OF the abdominal
wall. The chances are favorable for his re-
c0very, and IL IS now my opinion the operation
was success"