Summary The experience of 90 abdominal wounds, operated on in forward areas, is used as a basis. Certain cases are quoted. General management in all stages is reviewed, and standards are laid down under which the mortality was halved. Benefits of rapid transfusion are shown. Intraperitoneal injection of sulphadiazine would seem, clinically, to reduce peritoneal infection following bowel perforation. The necessity is shown for routine early post‐operative gastric suction and continuous intravenous therapy in all cases of perforated bowel. Lesions of various organs are reviewed in detail and their management is discussed. Wounds of the colon, if “exteriorized”, are no more fatal than those involving small bowel. A recovery rate of at least 70% is to be expected if patients come to operation within twelve hours.
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