The anesthetic administered was ether, and for two and a half hours the President was under the influence of this.
The wound in the breast proved to be only a flesh wound. The bullet struck a button and was somewhat deflected. It entered the middle of the breast above the breast bone, but did not penetrate far. When the President was undressed for the operation the bullet fell from his clothing upon the table.
The second and serious wound was a bullet hole in the abdomen, about five inches below the left nipple and an inch and a half to the left of the median line. The bullet which caused that wound penetrated both the interior and posterior walls of the stomach, going completely through that organ.
It was found also that as a consequence of the perforation the stomach fluid had circulated about the abdominal cavity.
Further examination disclosed that the hole made by the entrance of the bullet was small and clean cut, while that on the other side of the stomach was large and ragged.
A five-inch incision was made and through that aperture the physicians were enabled to turn the organ about so as to suture the larger bullet hole. After that had been sewed the abdominal cavity was washed with a salt solution.
The operation performed on President McKinley at the emergency hospital left no need for a second operation to follow it almost immediately. Dr. Mann, who performed the operation, had for his first assistant Dr. Herman Mynter. His second assistant was Dr. John Parmenter. His third assistant was Dr. Lee of St. Louis, who happened to be on the exposition grounds at the time of the tragedy, and placed his services at the disposal of the President. Dr. Nelson W. Wilson noted the time of the operation, and took notes. Dr. Eugene Wasdin of the marine hospital gave the anesthetic. Dr. Rixey arrived at the latter part of the operation, and held the light. Dr. Park arrived at the close of the operation. It was Dr. Mann who wielded the knife.
The operation lasted almost an hour. A cut about five inches long was made. It was found necessary to turn up the stomach of the President in order to trace the course of the bullet. The bullet’s opening in the front wall of the stomach was small and it was carefully closed with sutures, after which a search was made for the hole in the back wall of the stomach.
This hole, where the bullet went out of the stomach, was larger than the hole in the front wall of the stomach; in fact, it was a wound over an inch in diameter, jagged and ragged. It was sewed up in three layers. This wound was larger than the wound where the bullet entered the stomach, because the bullet, in its course, forced tissues through ahead of it.
In turning up the stomach, an act that was absolutely necessary, and was performed by Dr. Mann with rare skill, the danger was that some of the contents of the stomach might go into the abdominal cavity, and as a result cause peritonitis. It so happened that there was little in the President’s stomach at the time of the operation. Moreover, subsequent developments tended to show that this feature of the operation was successful and that none of the contents of the stomach entered the abdominal cavity. If any of the contents had entered the cavity the probability is that peritonitis would have set in.