| Popis: |
A case has been presented in which the patient suffered with (1) common duct obstruction due to stones, (2) chronic cholecystitis, (3) duodenal ulcer, (4) perforation of the duodenal ulcer, and (5) duodenal fistula. This patient was treated surgically, with three separate operations, the actual operative time of which totaled six hours and forty-six minutes. These operations were done within a period of twenty-three days. In our opinion, the result obtained could not have been accomplished with less surgery, which consisted of: (1) cholecystectomy with exploration and drainage of the common duct, (2) removal of stones from the common duct, and (3) subtotal gastrectomy for ulcer which had perforated. A simple method of continuous suction was used, which materially assisted in healing of the wound by keeping the wound free of irritating discharge. |
