Two cases of primary intestinal resection for gangrene of bowel from strangulation / by H.H. Clutton.

  • Clutton, Henry Hugh.
Date:
[1894]
Catalogue details

Licence: Public Domain Mark

Credit: Two cases of primary intestinal resection for gangrene of bowel from strangulation / by H.H. Clutton. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    TWO CASES OF PRIMARY INTESTINAL RESECTION FOR GANGRENE OF BOWEL FROM STRANGULATION. By H. H. CLUTTON, F.R.C.S., OF LONDON, SURGEON AND LECTURER ON SURGERY, ST. THOMAS'S HOSPITAL. IT is important at the present time that all cases of intestinal resection from strangulated hernia should be recorded, whether they be successful or not. For the operation as a primary measure of treatment is on its trial. Some surgeons think that it will have its day, and that then we shall return to the old operation of artificial anus and an early secondary resection. He would be a rash man who made any dogmatic assertion on this point. In the mean time let us record our experiences, and time will show which is the better treatment. Operations long ago discarded are now again revived under modern conditions of asepticism, and with success. This is apparent throughout the whole range of surgery. Primary intestinal resection was done by Sir Astley Cooper, as has recently been shown by Sir Wm. MacCormac, in his Bradshaw Lecture.1 But the operation had to be given up on account of the failure to obtain union and the invariable onset of peritonitis. At the present day union of the two ends is nearly always successfully accomplished, and perito- nitis is not often directly caused by the operation. But still there is a high rate of mortality, chiefly from shock. The cases so far recorded of failure, and there should be many more if all were made public, show that the mortality is largely due to shock from the depressing nature of the original lesion and an operation which cannot be done in five minutes. Some of the cases re- corded or alluded to at meetings show that the bowel has given