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Five years since Stirling — a progress review

  • F. M. Parsons

Abstract

At the symposium held in Stirling in 1977, the history of the development of haemodialysis and the early use of intravenous therapy in the management of cholera was presented (Parsons, 1978). Five years ago peritoneal dialysis was used infrequently in the United Kingdom (UK) for the longterm management of end-stage renal failure. The first known use of the peritoneal cavity for medicinal purposes was recorded by Warrick (1744). He removed 36 pints (20.41) of ascitic fluid by means of a trocar from a certain Jane Roman, aged 50, in Truro. On investigation he found that the ascetic fluid formed a slight coagulum when mixed with either Bristol water or cohore claret, a Bordeaux wine. Within 6 weeks the ascites had returned ‘being ready to break their confines’. After removing a further 20 pints (11.41) Warrick, following up his previous investigation, injected 10–12 pints (5.7–6.81) of an equal mixture of Bristol water and claret through the trocar. The patient developed acute syncope. On recovering, the patient bravely agreed to a second injection, the claret ‘being in double proportion of the water to render it efficacious’. After draining the fluid from the abdomen the procedure was repeated. Five weeks later Warrick, ‘finding everything therefore in a favourable way, her appetite well, her urine in due quantity, her breathing clear, and the extreme parts of their natural size, --- left her in pursuit of that health which she soon acquired, and continued to enjoy’. Perhaps the success of this procedure was due to the development of peritoneal adhesions, a complication that physicians would wish to avoid today.

Keywords

Peritoneal Dialysis Brain Death Acceptance Rate Ascitic Fluid Continuous Ambulatory Peritoneal Dialysis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© MTP Press Limited 1983

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  • F. M. Parsons

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