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>Journals >Cirujano General >Year 2001, Issue 4


Rodríguez PCA, Vázquez OR
Beginnings of the use of laparotomy for abdominal trauma in Mexico
Cir Gen 2001; 23 (4)

Language: Español
References: 24
Page: 278-282
PDF: 4. Kb.


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ABSTRACT

Objective: To describe the history and evolution of laparotomy in Mexico starting with the XVIII century.
Purpose: To compile the largest possible information on the use of laparotomy in Mexico, covering from the XVIII century to the present.
Setting: School of Medicine, National Autonomous University of Mexico (UNAM).
Data collection: We reviewed and analyzed the bibliography obtained from dissertations and articles from national and international biomedical journals (27 references).
Results: At the end of the XIX century, abdominal trauma was treated conservatively in Europe. This behavior was supported on the bad results obtained with laparotomy during the Boer War (1881), as reported by the British surgeons. For this reason, during the Russian-Japanese war in 1905, the Russian surgeons only closed the external wounds with the concomitant high mortality. On the other side, at the end of the XIX century, the Mexican surgeons widely accepted the Listerian theories. Many of them already questioned the conservative management of abdominal wounds. The first to consider laparotomy with intestinal repair and “large water” lavage of the abdominal cavity was Maximiliano Galván (1873). Fernando Zárraga performed successfully the first visceral repairs (1892). Arriata, in his dissertation for the medical degree, proposed experimentally the use of laparotomy for abdominal trauma (1893). T. Núñez informed on a patient wounded by a firearm associated to lesion of the spleen and left kidney and described a case of late splenic hemorrhage (1898). Gracia García already used laparotomy during the Mexican Revolution (1911).
Conclusion: Laparotomy in abdominal trauma (1810-1914) developed in Mexico much before it was used in other parts of the world, and has since then been accepted as an excellent diagnostic and therapeutic tool.


Key words: Abdominal trauma, laparotomy, history of medicine.


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>Journals >Cirujano General >Year 2001, Issue 4
 

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