Cecum surgery statistics

Dr. W. Förster (Zentralbl. F. Chirurg, no. 49, 1928) from I / X 1918. no 30 / IX 1928 performed 1,053 operations on the cecum. Of these, in 851 cases. for acute inflammation and 202 cases. in chronic and complicated processes. The severity of the case was controlled by the leukocyte count. Mortality was observed in 18 cases, that is, in 1.7%. Of these, in 2 mild cases due to tuberculosis and cardiac weakness, and the other - embolism. In the remaining 16 cases, death occurred due to the presence of peritonitis, intestinal paralysis, obstruction and other complications during the operation. In 149 cases, a cloudy purulent exudate was found. In 68 cases. deposition of pus and inflammation of the intestine, the author lists these cases as peritonitis. In 343 cases. worms were found, 45 of them freely perforated into the abdominal cavity. The appendix contained 126 times fecal stones, 13 times small foreign bodies, 96 - worms. In 116 cases. the abdominal cavity was drained, in the rest it was closed tightly. In drained cases, mortality is 8. Postoperative management of patients: in mild cases, they get up after 3 days and are discharged home after 7 days. In severe cases, the fight against intoxication, intestinal paresis and heart weakness was carried out by intravenous administration of sugar with hypophysin, Cardiozol, etc. From the onset of the attack to the moment of the operation, it took up to 5.1 days. The author ascribes the main merit of good results to referring doctors, and if the population is more attentive to themselves and more often see a doctor, the statistics will improve significantly.