Abstract
For the purpose of illustrating the technic herein offered, I may describe a case of intestinal obstruction following abdominal section. By the second, third or fourth day the bowels have not been moved, nor has flatus passed. There are increasing tympany, muscular rigidity and abdominal tenderness. Acute dilatation of the stomach develops, with excessive thirst and frequent vomiting of stomach and duodenal contents. The stomach tube gives only temporary relief. The patient is restless, anxious and evidently losing ground. Auscultation of the abdomen reveals intestinal metallic gurgling sounds due to paroxysmal waves of peristalsis occurring at frequent intervals. The peristalsis forces the liquid and gaseous contents of the bowel to the point of obstruction and produces much pain. Urinalysis reveals albumin, casts and indican in increasing quantities. No wise surgeon gives purgatives under such circumstances. Enemas of every kind have been tried and failed. The patient's condition is getting
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