Tait reports 54 cases with 52 perfect
recoveries. Cholyecystectomy, or excision of the gall-bladder,
was first practiced in 1880 by Langenbuch of Berlin, and is used
in cases in which gall-stones are repeatedly forming. Ashhurst's
statistics show only four deaths in 28 cases.
At St. Bartholomew's Hospital, in London, is a preserved specimen
of a gall-bladder which had formed the contents of a hernial sac,
and which, near the fundus, shows a constriction caused by the
femoral ring. It was taken from a woman of forty-five who was
admitted into the hospital with a strangulated femoral hernia.
The sac was opened and its contents were returned. The woman died
in a few days from peritonitis. The gall-bladder was found close
to the femoral ring, and showed a marked constriction. The liver
was misshapen from tight lacing, elongated and drawn downward
toward the ring. There was no evidence that any portion of
intestine or other structure besides the gall-bladder had passed
through the ring.
The fatality of rupture of the spleen is quite high. Out of 83
cases of injury to this organ collected by Elder, and quoted by
MacCormac, only 11 recovered; but the mortality is less in
punctured or incised wounds of this organ, the same authorities
mentioning 29 recoveries out of 35 cases.
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