Observations on Perforated Gastric and Duodenal Ulcer, Based upon a Personal Experience of Forty-Six Cases Operated upon

It is not necessary here to consider the general subject of S^stric and duodenal ulceration, which for the most part lies Wlthin the domain of medicine rather than of surgery, although | need not remind this Society that these conditions no longer lr>terest the physician alone. Discussions which have taken P|ace within these walls have played no inconsiderable part in directing attention to the possibilities for good of surgical intervention in a limited, yet clearly defined, class of cases. If there is still room for discussion as to the precise role of surgery in the treatment of unperforated ulcers, there is, I think, no difference of opinion regarding its place when peroration has occurred. Attention will, therefore, be confined to the subject of perforated ulcers, chiefly in its clinical aspects, and, to avoid confusion, I shall refer to gastric and to duodenal