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Summary

  • 1
    The experience of 90 abdominal wounds, operated on in forward areas, is used as a basis. Certain cases are quoted.
  • 2
    General management in all stages is reviewed, and standards are laid down under which the mortality was halved.
  • 3
    Benefits of rapid transfusion are shown.
  • 4
    Intraperitoneal injection of sulphadiazine would seem, clinically, to reduce peritoneal infection following bowel perforation.
  • 5
    The necessity is shown for routine early post-operative gastric suction and continuous intravenous therapy in all cases of perforated bowel.
  • 6
    Lesions of various organs are reviewed in detail and their management is discussed.
  • 7
    Wounds of the colon, if “exteriorized”, are no more fatal than those involving small bowel. A recovery rate of at least 70% is to be expected if patients come to operation within twelve hours.