OCR Text |
Show success but being the only thing that could possibly be done, we tried it with much misgiving for we found sugar in the patient's urine. The immediately-performed operation showed the incarcerated part of the intestine to be entirely necrotic and a piece about fifty centimeters long had to be resected, the ends of the intestine being anastomosed. All this even was not enough for our patient; later examinations disclosed a four-plus Kahn (syphilis). The patient received heart stimulaats, Murphy drip, insulin, and neosalvarsan, and we had the joy of seeing him improve, and in a fortnight he was recovered. But for the lack of appendicitis we get many so-called "fistulas in ano". This a is well-known disease-a small sinus and fistulas which are easily cut out; but here in North China these fistulas reach not infrequently down into the thighs and up onto the back, after infiltrating both buttocks. Fistulas so extensive are serious diseases for the patient; they require big operation, long treatment and finally skin grafting. We took forty-three such patients into the Hospital, and performed the operation on thitty-nine cases. This operation is usually called "fistulectomy" but realizing that this term does not fit too well so extensive an operation, I found a new term not strictly scientific,- "Amputation of right buttock" and "Amputation of left buttock''! We have gained the impression that malignancies of the viscera are much more rare than at home; we saw only one carcinoma of the rectum, and only two of the stomach. Stones in the gallbladder we have _ 9 __ |