Source: Progressive Medicine
Source type: journal
Document type: article
Document title: “Surgery of the Abdomen, Exclusive of Hernia”
Author(s): Gerster, John C. A.
Date of publication: June 1915
Volume number: 2
Issue number: none
Pagination: 57-186 (excerpt below includes only page 66)
|Gerster, John C. A. “Surgery of the Abdomen, Exclusive of Hernia.” Progressive Medicine June 1915 v2: pp. 57-186.|
|William McKinley (surgery).|
|Charles Greene Cumston; William McKinley.|
Click here to view the original comments by Cumston alluded to below.
About the author (p. v): John C. A. Gerster, M.D., Instructor in Surgery, New York Polyclinic Hospital and Medical School; Adjunct Surgeon to Mt. Sinai Hospital; Assistant Surgeon to Knickerbocker and City (Blackwell’s Island) Hospitals.
Surgery of the Abdomen, Exclusive of Hernia [excerpt]
The empty stomach is simply perforated by the
modern bullet, the wound of exit being slightly larger than the wound of entrance,
while a full stomach struck by a bullet is burst apart.
In searching for the wound of exit through an incision in the anterior gastric wall, Cumston emphasizes the necessity of making the wound large enough to afford a clear view. To show the disadvantages of a small opening, he cites the case of the late President McKinley in which digital examination through a small incision in the anterior wall of the stomach failed to find the perforation in the posterior wall. It must not be forgotten that the wound of exit may be in the posterior wall of the duodenum.