Word: peritoneum
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...lower abdomen was made through which an L-shaped stone was removed from lower part left ureter in about 12 minutes. Thorough exploration of entire ureter upwards to kidney, downwards to urinary bladder and careful repair wound required altogether about 50 minutes.* One extraordinary thing about operation is that peritoneum not opened or in other words the abdominal cavity was not laid open. There practically no loss blood except what was expected on making superficial incision and consequently no risk for any post-operative hemorrhage. Incision was closed completely leaving small rubber tubing as drain. The tube was inserted...
...electric knife cuts through the bowel it shrivels the severed ends, leaving them looking like the puckered ends of sausages. Thus no infectious intestinal material can leak into the peritoneum. After Dr. Whitaker removes the diseased segment of the bowel, he brings the healthy ends together and darns them in such manner that the burnt tissue lies within the passageway of the bowel. In 24 hours the burnt tissue sloughs off and passes away. The bowel no longer is obstructed, and in three weeks the patient is as well as ever...
...inextricably fastened to the liver, is simpler with the electric knife. After Dr. Whitaker cuts away all loose parts of the gall bladder, he sears the remainder in its liver bed. Thus he effectively prevents damage to the liver, dangerous hemorrhage, and dripping of infectious material into the peritoneum...
...reach any of these organs the surgeon must cut through the peritoneum, a closed sack within the hollow of the abdomen. The outside coat of the peritoneum resists germs, but its slippery, serous inner wall offers streptococci an ideal breeding place. The peritonitis which results is exceedingly hard to cure. A high percentage of peritonitis cases die, and many of the remainder suffer lifelong pain and debility from adhesions. Because of the difficulty of coping with this form of infection all surgeons cock hopeful ears toward any serious colleague who promises them a preventive of peritonitis...
...usually about 30% Dr. Young had the satisfaction of reducing it to about 2%. These Johnson-Young experiments went successfully forward to the point where the two doctors last week felt warranted in making this significant announcement to their fellow surgeons: Three ounces of the concentrate injected into the peritoneum four to six hours before an operation will, in a vast majority of abdominal cases, prevent peritonitis...