Abstract

Case 1 .—H. M., age 26, admitted to the hospital at 8P.M., June 16, 1886, suffering from a bullet wound of abdomen. I saw him at 10P.M.He was suffering but little from shock; pulse go; temperature normal; no pain. On examination, I found a large bullet wound half an inch below umbilicus, and an inch to the right of median line. I decided to make laparotomy, and assisted by Dr. E. W. Lee, and the House Staff of the Hospital, I made the median incision three and one-half inches long. I began by examining the small intestine and repairing each wound as it was exposed by first paring off the ragged edges with a scissors, then inserting a continuous catgut suture in the mucous membrane, then in the peritoneal covering, the first row of sutures being entirely covered by the second. This was continued until the eleven openings

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