OCR Text |
Show TYPHOID FEVER. Now Cured by Surgery Through a Remarkable Operation. (Chicago Tribune.) Typhoid fever has been cured by an operation. A Paris surgeon has just brought a patient out of a seemingly hopeless case of the disease, and the method by which he did it constitutes a aisunct acmevement in turauve science. Dr. J. S. Dauriac, an eminent practitioner prac-titioner of Paris, resorted to surgery as a last remedy in a case which had been given up. The patient, a young man of 17 years, is now in full possession posses-sion of, his health. While the physician was convinced that the. Intestines could be cleaned antiseptically - and the inflammation thus reduced, he would not have undertaken under-taken the dangerous operation if the father of the young man had not urged it and if it had not been that the patient pa-tient was doomed, and if it had not been apparent that he could live but a few days. The fever had followed its course for twenty days and the case was seen to be hopeless. The father, seeing the hopelessness of his son's condition, urged the physician to perform the operation as a. last measure, and it was decided to undertake it. An incision about trie length of the index finger was made in the left side, about two and a quarter inches inside the forward and upper iliac spine, into the peritoneum. This incision was just sufficient to allow the physician to take hold of the small intestine and draw it out. A little shield was attached in the peritoneum and in the deeper points of the incision, with the convex side toward to-ward the smaller intestine, and this shield was fastened by catgut. The intestinal tumor was tnen opened and cleaned out and the edges tied to the skin. The wound was then closed up minutely and protected all around the mouth of the intestine by sterilized cotton, covered by a thick layer of iodoformed collodion. Afterward a Nelaton tube in flexible rubber was Introduced and the drainage drain-age of infected matter from the intestines intes-tines facilitated by the employment of boiled water slightly cooled and salted. At the end of the second day the water thus used seemed to be free from infected in-fected matter. From the first day there was a noticeable improvement in the patient's condition. His temperature tempera-ture steadily decreased, and three days after the operation it was lower than it had been at any time since the beginning be-ginning of the illness. The physician then did not hesitate to give his patient more or less solid food, beginning with thick vermicelli soup, then noodles and fine macaroni cooked in. water. Seven days afterward after-ward the invalid ate an egg, followed by a lamb chop. From that time to the recuperation was extremely rapid, and the young man today is enjoying perfect per-fect health. . . In describing the details of the operation opera-tion Dr. Dauriac said that probably many American physicians had realized real-ized the possibility of resorting to surgery In the treatment of typhoid cases and a relation to this operation might prove interesting to them. "I was careful to select a point of the intestine sufficiently removed from the ileocaecal valve to avoid the center of the ulceration," said the physician, "and not too much above the jujunum to interfere with nutrition. I was guided in the operation by the ecchy-mose ecchy-mose aspect presented in spots by the exterior surface of the small intestine the nearer I approached the largest of the Intestines." The achievement of the Paris physician physi-cian is greeted b men of the profession profes-sion in that city as one of -the memorable mem-orable surgical achievements of th year. |