Abstract

An attempt has been made to relate the lessons learned in the management of over 300 war wounds of the abdomen treated on the author's service in an evacuation hospital overseas. Opportunity to follow up a varying number of these cases and similar one's was afforded at the close of severa of the campaigns and included an officially sponsored follow-up tour of general hospitals in the ET0 treating these cases in the later phases of their care. Complications which may occur have been mentioned. The late care of colostomies has been only mentioned as their care and closure when properly constructed initially follows standard surgical procedures. The importance of early supportive treatment, especially transfusion with whole blood has been stressed and the need for stabilization of the circulatory system, especially if continued hemorrhage has been excluded before undertaking surgery has been emphasized, being even more important than the time preoperatively. The value of intratracheal anesthesia has been discussed. Finally the complications to be looked for have been recounted.

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