EXTRAPERITONEAL RUPTURE OF THE BLADDER

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Abstract
Extraperitoneal rupture of the bladder, for a serious injury, has received little specialized study or attention, and when this can be said of a surgical condition of such magnitude it follows almost as a matter of course that its management has been, as a rule, inefficient and unsatisfactory. Some may criticize this statement on the ground that hospital statistics show that a large percentage of patients with such injuries are at present discharged from the hospital alive and with the record "recovered." Still, if one will take the trouble to investigate these patients so discharged, it will be found that almost all of them have recovered only sufficiently to be discharged from hospital, and that most of them have been left invalided—the majority, severely so. Peritoneal rupture, on the contrary, has been carefully studied, and the surgery applied to it has been radical and eminently satisfactory. Severe violence directed against

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