The Saint Paul globe. (St. Paul, Minn.) 1896-1905, 1902-10-26

=
: did it constitutes a distinct achievement
in curative science.
DR.. j. 8. Dauriac, an eminent practi-
toner Of Paris, resorted to surgery as a
= last remedy in case which had been
given up. The patient, young man Of
seventeen years, is now in full possession
of his health.
While the physician was convinced that
the intestines could be cleaned antisepti-
cally and the inflammation thus reduced,
he would not have undertaken the dam
gerous operation If the father Of the
young man had not urged it and if 1t had
not been apparent that he could live but
few days
The fever had followed its course for
twenty days and the case was seen to be
hopeless. The father, seeing the hopeless
ness of his sons condition, urged tho
physician to perform the operation as
last measure, and it was decided to I'M
dertake 1t.
An incision about the length OF tina
index finger was made In the left side.
about two and quarter inches inside the
forward and upper lilac spine, into the
peritoneum. This incision was just suff1-
Client to allow the physician to take hold
Of the small intestine and draw it out.
little shield was attached in the perl
toneum and In the deeper points Of the
tncision, with the convex side toward tho
smaller intestine, and this shield was
fastened by catgut. The intestinal tunor
was then opened and cleaned out and the
edges tied to the skin. The wound was
then closed up minutely and protected all
around the mouth of the intestine by
sterilized cotton, covered by thick laTer
OF iodoforlned collodion.
r6 n Na1ofon fJIha fp flexible
rubber was introduced and the drainage
of infected matter from the intestines
facilitated by the employment OF Boiled
water slightly cooled and sailed. At the
end of the second day the water thus
used seemed to be free from infected
matter From the first day there was
noticeable improvement in the patients
condition. His temperature steadily de-
creased, and three days after the opera
ton it was lower than 1t had been at any
time since the beginning of the illness.
The physician then did not hesitate to
give his patient more or less solid food.
beginning with thick vermicelli soup,
then noodles and fine macaroni cooked in
water Seven days afterWard the Invalid
ate an egg followed by a lamb chop.
From that time on the recuperation was
extremely rapid and the young man to-
day is enjoying perfect health
In describing the detalIS OF the opera
ton Dr. Dauriac said that probably many
American physicians had realized the
possibility Of resorting to surgery In the
treatment of typhoid cases and reia-
ton Of this operation might prove inter-
estinG to them.
81 was careful to select 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 jujunum to inter-
fere with nutrition. l was guided IN the
operation by the ecchymose aspect pre-
scented In spots by the exterior surface Oh
the small intestine the nearer L ap-
proached the largest of the intestines
The achievement Of the Paris physician
is greeted by men Of his profession IN
that city as one of the memorable surgl-
cal achievements of the year. -