The Salt Lake herald. [volume] (Salt Lake City [Utah]) 1870-1909, 1902-11-17
TYPHOID FEVER.
Now Cured by Surgery Through a
Remarkable Operation.
Chicago Tribu

Chicago Tribune)
Typhoid fever has been cured by an
| operation A Paris surgeon has lust
! brought a patient out of a seemingly
hopeless case of the disease, and the
method by which he did il constitutes
distinct achievement in curative
science.
DR.. j. S. Dauriac, an eminent prac-
tltloner of Paris, resorted to surgery
as last remedy in a case which had
peen gwen up. The patient, a young
man of IL years, is now in full posses
sion of his health.
While the physician was convinced
] that the intestines could be cleaned
/ antiseptically and the Inflammation
thus reduced. he would not have under
| taken the dangerous operation if the
father of the young man had not urged
/ II and II it had not been that the pa
/ tient was doomed. and if it had not
been apparent that he could live but a
few days.
The fever had followed its course for
twenty days and the case was seen to
be hopeless. The father. seeing the
hopelessness of his sons condition.
urged the physician to perform the
operation as a last measure, and it
was decided to undertake it.
An incision about the length of the
about two and a quarter inches inside
the forward and upper lilac spine. into
the perltoneum. This incision was lust
sufnclent to allow the physician to take
hold of the small intestine and draw
1T ont A little shield was attached in
the peritoneum and in the deeper points
OF the 1ncision, with the convex side to-
ward the smaller intestine. and this
shield was fastened by catgut. The
intestinal
cleaned out and the edges tied to the
skin The wound was then closed up
infinitely and protected all around the
mouth of the intestine by sterilized
cotton, covered by a thick laver of
iodoformed collodion.
Afterward a NelatOn tube in flexible
rubber was introduced and the drain
age OF injected matter from the intes-
tines facilitated by the empIovment of
boiled water slightly cooled and sailed
At the end of the second day the water
thus used seemed to be free from in.
1ected matter. From the first dav
there was noticeable Improvement in
the patients condition. His tenpera-
ture steadily decreased. and three days
after the operation it was lower than
1t had been at any time since the be-
ginning of the illness.
The physician then did not hesitate
49, MS PeANAChN AiAOIG OF less SOLID
food, beginning with thick vermicelu
SOUP, then noodles and fine macaroni
cooked in water Seven DAYS after
ward the invalid ate an egg. followed
by lamb chop. From that time to the
recuperation was extremely rapid. and
the young man today is enjoying per-
feet health.
In describing the details of the OPERA
ton DR.. Dauriac said that probably
many. American physicians had real
lied the possibility of resorting TO
surgery in the treatment Of typhoid
cases and a relation to this operation
might prove interesting to them.
I was careful to select a point of
the intestine sufficiently removed from
the ileocaecal valve to avoid the center
of the liberation said the physician.
and not too much above the juiunun
TO interfere with nutrition I was
guided in the operation by the ecchv-
NOSE aspect presented in spots by the
exterior surface of the small intestine
the nearer 1 approached the largest of
the intestines.''
The achievement of the Paris phygi-
clan is greeted bS men Of the profess
sion in that city as one of the men,
orable surgical achievements of the
year.