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MEDICAL JOURNAL

Established 1845 by AUSTIN FLINT, M. D.

EDITOR:
WILLIAM WARREN POTTER,

M. D.

ASSISTANT EDITORS:
WILLIAM C. KRAUSS, M. D.

NELSON W. WILSON, M. D.

ASSOCIATE EDITORS:

JAMES WRIGHT PUTNAM, M. D.
JOHN PARMENTER, M. D.

HARVEY R. GAYLORD, M. D.

ERNEST WENDE, M, D.

JOHN A. MILLER, PH. D
MAUD J. FRYE, M. D.

VOL. LX.-XLIV. (New Serien.

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CONTRIBUTORS TO NEW SERIES VOLUME XLIV.

(Whole Number Volume LX.)

AUGUST, 1904-JULY, 1905.

BAIN BRIDGE, WILLIAM S...
BARROWS, FRANKLIN W..
BAYLISS, A. W.....
BENEDICT, A. L...
BENTZ, CHARLES A..
BISHOP, Mrs. J. F.
BRUSH, EDWARD N..
BURROWS, LORENZO, JR..
Bưsch, FREDERICK C..
CHAPIN, HENRY Dwight.
CLARK, EDWARD..
CLINTON, MARSHALL.
COTT, GEORGE F...
CROTHERS, T. D....
CUMSTON, CHARLES GREENE.
DEWITT, C....
EDSALL, D. L....
FISHER, EDWARD D..
FOWLER, GEORGE B..
FRAZEE, A. B....
Frye, MAUD J....
GIBSON, JAMES A.
GRAM, FRANKLIN C..
GRANT, John H....
GREENE, WALTER D.
CREVELING, J. P..
GROSVENOR, J. W.
HANLEY, L. G...
HOPKINS, HENRY REED.
HOUSE, WILLIAM...
HOUSTON, San...
HUBBELL, A. A...
JACOBSON, NATHAN.
JOHNSON, RAY H...
JOHNSTON, GEORGE BEN.
Joslin, ELLIOTT P..
KING, JAMES E..

New York

Buffalo Buffalo .Buffalo

Buffalo

...China Towson, Md.

Buffalo

Buffalo New York

Buffalo Buffalo Buffalo .Hartford

. Boston Washington Philadelphia New York New York Rochester

Buffalo .Buffalo

Buffalo .. Buffalo

Buffalo .Auburn .Buffalo

Buffalo

..Buffalo .Portland, Ore .Washington

Buffalo Syracuse

.Buffalo Richmond

. Boston .Buffalo

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KRAUSS, WILLIAM C..
LAPP, HENRY..
LE Seur, John W.
LEWIS, F. Park.
LONG, ELI H..
LOVE, FRANK W..
LYTLE, ALBERT T..
MacDONALD, CARLOS A.
MACLEOD, J. A..
McGUIRE, EDGAR R..
MCGUIRE, FRANCIS W..
MCKEE, THOMAS H.
MASSEY, MYRTLE L..
MEWBORN, A. D. ...
MILLENER, F. H..
Morris, Robert T..
NORTON, CHARLES P..
PANZER, B.......
PARK, ROSWELL.
PHILLIPS, WILLIAM LINTON.
POTTER, WILLIAM WARREN.
PUTNAM, James Wright.
REED, CHARLES A. L...
RENNER, W. Scott.
RICKETTS, B. MERRILL.
ROCHESTER, DELANCEY.
ROWELL, E. E..
RUGGLES, E. Wood.
SAWERS, F. H..
SCHUGENS, M. ELIZABETH.
SHERMAN, DEWITT H..
SIMMONS, GEORGE H..
Simpson, BURTON T..
SNELL, ALBERT C......
STEPHENSON, FRANK H..
VAN DER BEEK, CHARLES A.
VAN DUZEE, EDWARD P.
VAN FLEET, FRANK.
WENDE, GROVER W..
WEY, HAMILTON D..
WILLIAMS, HERBERT U..
WILSON, NELSON W.
ALUMNI AssociaTION, UNIVERSITY OF BUFFALO.
BUFFALO ACADEMY OF MEDICINE.
MEDICAL ASSOCIATION OF CENTRAL NEW YORK.
MEDICAL SOCIETY OF THE COUNTY OF ERIE.
ROSWELL PARK MEDICAL CLUB.

. Buffalo Clarence

Batavia . Buffalo .Buffalo .Buffalo

Buffalo
New York

.Buffalo
Buffalo
Buffalo
.Buffalo

Buffalo
New York

Buffalo New York

Buffalo Vienna .Buffalo .Buffalo

Buffalo ...Buffalo .Cincinnati

Buffalo .Cincinnati ...Buffalo Stamford Rochester Rochester

Buffalo .Buffalo Chicago ...Buffalo .Rochester

Syracuse .Rochester

Buffalo . New York

Buffalo

Elmira . Buffalo Buffalo

BUFFALO MEDICAL JOURNAL.

Vol. Xliv.-Lx.

AUGUST, 1904.

No. 1

ORIGINAL COMMUNICATIONS.

Treatment of Patients Undergoing Abdominal Opera.

tions.'

By J. A. MACLEOD, M. D., M. R. C. S. Eng., Buffalo, N. Y.

HE treatment referred to in the foregoing title is undoubt

edly as important as the technic of the actual operation itself and it is best discussed under headings.

T

THE TREATMENT BEFORE THE OPERATION.

This is principally one of prophylaxis, and its aim is to prepare the patient in such a manner that she will enter the operating theater in the best mental and physical condition possible. The question of shock here is one which needs very careful consideration.

Though not attempting to discuss the pathology of shock, one may say that the condition is due to a state of exhaustion of the medulla and the spinal cord, leading to a great reduction of vita] activity and resulting from severe irritation of the peripheral ends of the sensory and sympathetic nerves. In this condition the face is pale and drawn; the pulse is frequent, weak and dicrotic. The pupils are dilated; the reflexes are diminished; the respirations are feeble, irregular and sighing; the temperature is subnormal.

The condition may be much lessened by prophylactic treatment. It is well for the patient to be in the hospital for at least three or four days, even for a week if possible, before the operation, so that she may become accustomed to her surroundings and undergo a careful and systematic preparation.

1. Read before the Erie County Medical Association, June 19, 1904.

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