Identifier: newmanualofsurge00ochs (find matches)
Title: A new manual of surgery, civil and military
Year: 1917 (1910s)
Authors: Ochsner, Albert J. (Albert John), 1858-1925 Percy, Nelson M. (Nelson Mortimer), b. 1875
Subjects: Surgery
Publisher: Chicago, Cleveland Press
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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imes encountered inrectal feeding. The most important point, however, is in dispelling the idea that a severepain in the region of the stomach in children, coming on after taking indi-gestible food, is due to gastritis and is consequenth^ of little importance, becauseso often a careful examination will demonstrate it to be a gangrenous orperforated appendicitis. This condition frequently occurs in children notmore than four years of age. We have seen a number of cases much younger,one as young as seven months, and the accompanying history of a case observed GENERAL SURGERY OF THE ABDOMEN 275 by Dr. W. B. Helm, of Rockford, Illinois, which is quoted because of its unusualinterest, shows that it may occur in those still younger. This patient, a boy three months old, was seen by Dr. Helm, January 5, 1902. He hadsuffered almost constantly since birth, crying much of the time, night and day. Frequenttenesmus, although bowels were easily regulated. The mothers milk did not agree and various
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Abdominal Incison. _ Eepresents the method of applying interrupted sutures in order to restore the internaloblique abdominal muscle, in the same ease the external oblique being held out of the way bymeans of retractors. prepared foods were tried. The child took food ravenously, but never seemed satisfied. Therewas no gain in weight and some fever persisted most of the time. When the child was fiveweeks of age the local physician was called and detected a right oblique inguinal hernia.There was apparently no trouble in reducing it and he tried various forms of retentive appa-ratus. Still the crying, straining and fever continued. Seven weeks later the patient beganto fail rapidly, and Dr. Helm found it with a temperature of 103° F. and pulse varying from160 to 190. The child weighed only eight pounds and still cried most of the time. Therewas a hernial protrusion the size of a small hens egg. The bulk of the mass could be readily 276 GENERAL SURGERY OF THE ABDOMEN returned, but a smal

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