Abdominal Exploration: Finding What Is Wrong

  • Moshe Schein

Abstract

Not uncommonly, when opening the abdomen, the surgeon knows what to expect inside; the clinical picture and/or ancillary tests direct him onto the disease process (e.g. an acute appendicitis or obstructing sigmoid lesion). On many instances, however, he dips into the unknown, being warned only by the signs of peritoneal irritation, and assuming that the peritoneal cavity is flooded by blood or pus. Usually, the surgeon speculates about the predicted diagnosis but always remains ready for the un­expected. This is what makes emergency abdominal surgery so exciting and demanding: the ever looming surprises and the anxiety about whether you are able, or not, to tackle it competently.

Keywords

Brittle Adrenaline Perforation Peritonitis Appendicitis 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2000

Authors and Affiliations

  • Moshe Schein
    • 1
    • 2
  1. 1.Cornell University Medical CollegeUSA
  2. 2.New York Methodist HospitalBrooklynUSA

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