Discussion of the Surgical Theories of Intestinal Stasis

Abstract

sclerotic or as renal. Cardiorenai is a bad term and only to be used when we cannot find another.Dr. Harlow Brooks, New York : One of the most important prognostic factors is the early recognition of the involvement of the heart, because early treatment unquestionably spells cure. If not seen early, prognosis may be bad owing to the fact that the late lesions are largely fibrotic and therefore not capable of total eradication. Dr. Cabot's classification is a most valuable one, although it cannot as yet be very widely applied. Most of us now believe that a considerable per¬ centage of hitherto unclassified myopathies of the heart are of syphilitic origin.Dr. Alfred Stengel, Philadelphia : Dr. Cabot has denied stating that the etiologic treatment may be the only treat¬ ment to be applied. Improve the etiologic classification and it will lead to an etiologic treatment based on it. The kernel in the nut is that syphilis is an important cause of heartdisease and it should" not be forgotten. Etiologic treatment is out of the question. Later on, however, it might lead to something else.

William Arbuthnot Lane (1856–1943): Surgical Innovator and His Theory of Autointoxication

“…He also highlighted the high percentage of patients who had a recurrence of symptoms years later. 7 Further observations failed to validate autointoxication.…”

“…1,6 Another contemporary, Anthony Bassler, published an article condemning Lane. 7 He believed that colectomy was only warranted for obstruction and that the relief experienced by Lane's patients was a placebo effect. He also highlighted the high percentage of patients who had a recurrence of symptoms years later.…”

Cirurgia segura - a enfermagem protagonizando a segurança do paciente no Centro Cirúrgico

“…Bassler, em 1914, advertiu sobre a necessidade de um estudo mais aprofundado do assunto e atribuiu os bons resultados proclamados pelos cirurgiões ao efeito placebo (Bassler, 1914).…”

A crença na autointoxicação por estase intestinal e sua história

“…Hertz, em 1913, e Einhorn, em 1914, classificaram de absurda a teoria da autointoxicação: "Se não precisássemos do cólon, que é um órgão de considerável comprimento", dizia Einhorn, "não o possuiríamos, ou ele teria se atrofiado, o que não ocorreu" (Einhorn, 1914(Einhorn, , p. 1111. Bassler, em 1914, advertiu sobre a necessidade de um estudo mais aprofundado do assunto e atribuiu os bons resultados proclamados pelos cirurgiões ao efeito placebo (Bassler, 1914). Alvarez, em 1919, considerou a teoria da autointoxicação um simples modismo, sem nenhuma base científica: o mesmo autor demonstrou que a cefaleia e a lassidão atribuídas à autointoxicação poderiam ser produzidas colocando-se um tampão na ampola retal.…”