100 years ago: Syphonage method in the treatment of severe injury of the bladder. Practitioner Dec 2019;263(1832):29

100 years ago: Syphonage method in the treatment of severe injury of the bladder

20 Dec 2019Registered users

TO APPRECIATE TO THE FULL his recovery, a few observations on his condition on arrival are noteworthy. He was a most pitiable sight. The stretcher on which he had travelled was saturated with urine, which, during the journey from France, had been extravasating over his abdomen from the still open bladder wound. Thin and emaciated, the boy was obviously very ill from septic absorption, and the want of mental as well as of bodily rest was aggravating the miseries of his condition. On examination of the abdomen, there was an unhealthy, lacerated, saucer-like wound about 4 inches in diameter, just above the symphysis pubis, and in its lower quadrant was an opening into the bladder, through which thick, foul-smelling urine was flowing over the abdomen. The skin of the abdomen, especially around the wound area, was excoriated and septic from the constant chafing of urine-sodden masses of dressing. The catheter had been given up at an early date. The urine itself was thick with pus, phosphates, and mucus.

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