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Show GIRL'S HEART IS COT OPEN Bullet Is Taken Out, Patient Lives. Brlm Surgeon Performs a Wonderful Operation Upon Woman. It Has No Counterpart in tho Science of Surgery, leclare Eminent Surgeons. BKRLIN. May 28. What Is considered consid-ered one of the most remarkable surgical operations ever performed per-formed In tho world, by reason of the great danger Involved of cutting off the lifo of the patient during tho progress of the work, has JuBt been completed by Prof. MantcufTcl of Dor-path, Dor-path, Germany, on a young girl of that town. This operation, which proved successful and Is now claiming the attention at-tention of eminent surgeons tho world over, involved cutting open and sewing up the . girl's heart. The surgeon succeeded In removing from hlB fair patient's heart, the beating beat-ing of which had stopped two hours before his uld was sought, a bullet which had lodged in the back of tho organ. Curiously enough, though the bullet had practically pierced the heart. It had touched no large blood-vessel. After several hours the patient regained consciousness, and Is now as well as ever, the stitched heart being good sis new. Story of Surgeon. Prof. Muntcuffel tells tho story of this now notable surgical case. "This young girl received, at 2M5 ono afternoon after-noon recently, a Bhot from a revolver. She fainted and awoke now nnd again, and arose at last at 4:30 and rang for help. This brought a Sister of Mercy, who made a camphor Injection. I was called at 6:29 p. m. I thought tho patient pa-tient would not live long. But other camphor Injections brought the almost vanished pulse to action, and tho patient pa-tient awoke to life again. Then I risked four other camphor Injections In order to take her to the clinic The patient seemed so well that I thought the shot had after all not gone through the chest wall. But the test of the enlargement of tho relative heart percussion and a new collnpso left no doubt In my mind that tho filling up of the perlcards with blood was endangering her life. At midnight (nine hours after tho shot) two Injections of camphor were given and tho patient was put under an opiate. Cut His Way to Heart. "I cut the skin along the left sternal edge, startlngat the height of the third rib and ending nt the eighth. Following Follow-ing the channel of the shot, the muscle triangularis was severed, arterla and ene mamarln pushed aside. Out of a pericardial wound blood flower at each expiration. "The heart sac became visibly filled with blood. It split on an Inserted grooved sound. Tho perlcard, the blood In which had partly congealed, was removed. re-moved. After this tho shot holo bo-came bo-came visible, out of which blood flowed. The shot hole was closed at once by a silk seam. The bleeding was stopped. But where was the bullet? The heart was lifted up and I could feel the bullet bul-let through the back vn.11. It was situated sit-uated In tho back wall of the second ventricle. The heart was held upward, tow fixed seams served as reins, nnd then I cut for tho bullet. A pressuro with my pointer and thumb of the left hand made the ball slip out and fall Into tho perlcard. Heart Sewed Up Again. "I sewed up this wall, which had bled little after compression with my fingers. fin-gers. Also the fixed seams on the end of the cut were Joined. I closed up the pericardial wound with four knotted stitches, tho breast wound In the lower part was closed, and the nbove part of the wound was gauze drained. "Immediately after removing blood from the pericardium tho pulse waa excellent. ex-cellent. Tho anaesthetic ran a smooth course. At the beginning everything went as well as could be desired. Later n serious pericarditis developed, that necessitated the removal of come stitches. "A large amount of pure serous fluid ran off. Temperature 3S C. pulse 130. From the 23rd of the month, at 12 o'clock noon, no more fluid was given off. The wound healed perfectly by second sec-ond Intention. During tho entire time wo found abnormal eounds in the fourth intercostal space. These wero slowly diminished, and on the 23th they had disappeared. On the 2nd of tho following fol-lowing month tho patient arose ana on the 26th tho wound closed up. The patient was detained at the cllnlo for observation for four weeks longer. Then sho returned to her home. First of Its Kind. "The extraction of a foreign body out of tho heart Itself after exposing the heart by operatlvo Intervention and thereby opening tho ventricle Itself, has to my knowledge novcr been performed before In tho world. My caso Is, therefore, there-fore, the first of Its kind. "The stitching of tho heart is safe and thoroughly tested, thereforo I was Justified in taking tho risk to open tho ventricle and extract the projectile." |