Diseases of Nutrition And Infant Feeding, By John Lovett Morse And Fritz B. Talbot

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* Both of these opera- tions require especial skill and should be performed only by sur- geons who are in the habit of operating on infants or have had much experience in operating on small animals. The Rammstedt opera- tion can be easily performed, however, by any surgeon. It requires, moreover, much less time and is accompanied by much less shock.
The medical treatment of these cases both before and after operation is of considerable importance. They should be given salt solution by enema or
...seepage, and if necessary subcutaneously, before the operation. The stomach should be washed out just before the operation. Salt solution should be given in the same ways after the operation. Feeding should be begun as soon as the baby has thoroughly recovered from the effects of the anaesthetic.
The best food is human milk, diluted at first with three parts of Water, the strength being quickly increased. If this is not available, the next best thing is whey. This should be gradually strengthened by the addition of gravity cream to give 0.25% of fat, 0.50% of fat and 1.00% of fat.


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