In the monograph previously referred to, Dr. Loria of New Orleans
compiled a more detailed technical description of the surgical
procedure. This was published in 1948 by the _International Abstracts of
Surgery_ (Volume 87) as a treatise dealing with 31,751 cases of
abdominal gunshot wounds admitted to Charity Hospital during the first
forty-two years of the present century. Dr. Loria appended to it a
series of reports on notable personages in American history who had
succumbed to such wounds, including President Garfield, President
McKinley, and Senator Long. Referring to the Senator’s case, he wrote in
part:
“The bullet which struck Senator Long entered just below the border of
the right ribs anteriorly, somewhat lateral to the mid-clavicular line.
The missile perforated the victim’s body, making its exit just below the
ribs on the right side posteriorly and to the inner side of the
midscapular line, not far from the midline of the back.
“... At the hospital, arrangements were made for an emergency laparotomy
with Vidrine in charge.... Under ether anesthesia the abdomen was opened
by an upper right rectus muscle splitting incision. Very little blood
was found in the peritoneal cavity. The liver, gall bladder and stomach
were free of injury. A small hematoma, about the size of a silver
dollar, was found in the mesentery of the small intestine. The only
intra-peritoneal damage found was a ‘small’ perforation of the hepatic
flexure, which accounted for a slight amount of soiling of the
peritoneum. Both the wounds of entry and of exit in the colon were
sutured and further spillage stopped. The abdomen was closed in layers
as usual.”
About one o’clock that morning Drs. Maes and Rives arrived, and somewhat
later Dr. Russell Stone, another noted New Orleans surgeon. None of
these saw any part of the operative procedure, all surgery having been
completed before their arrival. But a sharp difference of opinion
between Dr. Vidrine and Dr. Stone was followed by the latter’s prompt
return to New Orleans without so much as looking at the patient. Dr.
Stone told some of his New Orleans associates and close friends that
Vidrine had given him the details of the abdominal operation and had
also said that the kidney was injured and was hemorrhaging.
“Did you see the kidney?” he asked Vidrine, and added that the latter
replied: “No, but I felt it.” An acrimonious interchange followed and at
its climax Vidrine said something to the general effect of “Well, go on
in and examine him for yourself.” Stone replied: “Not I. This isn’t my
case and he isn’t my patient. Good night.” Thereupon he returned at once
to New Orleans.
Dr. Rives’s account of his experiences clearly illustrates on what he
based his opinion that the procedure was “chaotic.”
Public-domain text, read in full here on John Shaqi.
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