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A total of ninety-four cases of small bowel obstruction has been presented. The over-all mortality was 5.3 per cent. There were twenty-seven resections in the group.
Fifteen of these cases were primarily or secondarily due to some malignant process, and in this group the mortality was 13.3 per cent. There were eleven resections in this group.
In those where malignancy played no part, there were seventy-nine case with sixteen resections, and a mortality rate of three, or 3.7 per cent.
A method of dealing with cases of bowel obstruction surgically has been given in detail, with a presentation of the principles involved therein. We are convinced that observation of these principles will result in a lowering of the mortality rate, as it did in this series. The trocar described is merely a useful instrument for the carrying out of these principles; other instruments can and will be devised to do the same job. At the present time, however, it is the most efficient one with which we are acquainted. It is not aseptic, but only reasonably so. Its use is simple, as shown by the fact that several of those who used it had never seen it used before. We also believe that the rather large number of different surgeons involved in this investigation indicates that the method described is not complicated. The results speak for themselves.
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Received: August 23, 1954
© 1955 Published by Elsevier Inc.