THE SIMPLEST, EASIEST AND BEST METHOD OF IRRIGATING THE BLADDER

J. D. SOUTHARD
1906 Journal of the American Medical Association (JAMA)  
year there appeared a small opening in the lower end through which was discharged pus and fecal matter. This persisted for several months, with no tendency to close under the usual methods of treatment. In the latter part of 1904, I was called to see patient in consultation. At this time she was bed-ridden, emaciated, anemic and required rather large doses of morphin to relieve what seemed to be severe pain. A fistulous tract led from the lowest part of the abdominal incision backward, downward
more » ... backward, downward and toward the left to a depth of six or seven inches, and according to the patient and her attendants, pus was now and then discharged through the rectum. Operation.-Jan. 28, 1905, I opened her abdomen in the median line and followed the sinus down to a dense mass of adhesions, which it was impossible to separate without doing damage to the local parts or perilously prolonging an operation on a patient already exhausted. A cigarette drain was introduced and the wound closed around it.
doi:10.1001/jama.1906.25210020032003c fatcat:baz6vqxadzfmldp5nb6vsuimdm