A Manual of surgical treatment v.7, 1899-1903, Volume 7Lea Brothers & Company, 1903 |
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Veelvoorkomende woorden en zinsdelen
abdominal wall abscess acute adhesions affection anus becomes bile bladder bleeding blood boracic lotion bougie bowel calculus capsule catgut catheter cause cholecystostomy colotomy common duct condition cyst cystic cystic duct cystitis cystotomy diagnosis dilated disease distended divided drainage tube edges employed enlarged epididymis escape excision external extravasation finger fistula flap fluid forceps gall-bladder gauze give rise glands glans growth hæmaturia hæmorrhage healing inch incision infection inflammation injury instrument kidney latter ligature lithotrite liver loin lumbar meatus method micturition middle line mucous membrane necessary nephrectomy obstruction occur opening operation organ orifice pain passed patient pedicle pelvis penis peri-nephric perineal perineum peritoneal cavity peritoneum portion possible prepuce present prolapse prostatic urethra rectum removed renal renal pelvis scrotum septic side skin sphincter spleen stitches stone stricture suppuration supra-pubic surface surgeon sutures symptoms testis tissue treatment tuberculous tumour ulceration ureter urethrotomy urinary urine usually vesical whilst wound
Populaire passages
Pagina 53 - I generally recommend a dose of castor-oil to be taken on a empty stomach on the morning of the fourth day. The patient sits up on the fourth day, and is in a condition to resume work within a fortnight. I rarely find that the patient suffers much pain after the operation, though this depends chiefly on the nervous susceptibility of the individual. Some aching in the back may be complained of, as in other pelvic operations, but this is generally relieved by change of posture. If the change of posture...
Pagina vii - We have assumed that the reader is familiar with the nature and diagnosis of the disease, and we only refer to the pathology and symptoms in so far as it is necessary to render intelligible the principles on which the treatment is based, and the various stages of the disease to which each particular method is applicable.
Pagina 52 - The incisions must be made through the mucous membrane and not through the skin. It is very important that no skin should be sacrificed, however redundant it may appear to be, as the little tags of superfluous skin soon contract, and eventually cause no further inconvenience. If this precaution be taken there is no fear of stricture. The attachment of the mucous membrane and piles to the sphincters is so slight that I either employ the closed scissors as a raspatory or use my fingers in their separation....
Pagina 52 - By the use of scissors and dissecting forceps, the mucous membrane is divided at its junction with the skin around the entire circumference of the bowel, every irregularity of the skin being carefully followed.
Pagina 52 - The mucous membrane above the ha-morrhoids is now divided transversely in successive stages, and the free margin of the severed membrane above is attached, as soon as divided. to the free margin of the skin below by a suitable number of sutures. The complete ring of pile-bearing mucous membrane is thus removed. Bleeding vessels throughout the operation are twisted on division.
Pagina 52 - It will be observed that beyond the chloroformist no skilled assistance is necessary, a single nurse being quite sufficient. It is better to commence the separation of the mucous membrane at the lowest point and deal with the two sides in succession before completing the circle above, so that any oozing may be below the work as it proceeds. The incision must be made through the mucous membrane, and not through the skin. It is very important that no skin be sacrificed, however redundant it may appear...
Pagina 51 - He described it as follows (the italics are ours): " 1. The patient, previously prepared for the operation and under the complete influence of an anaesthetic, is placed on a high, narrow table in the lithotomy position, and maintained in this position either by a couple of assistants or by Clover's crutch. " 2. The sphincters are thoroughly paralyzed by digital stretching, so that they have ' no grip,' and permit the haemorrhoids and any prolapse there may be to descend without the slightest impediment.
Pagina 52 - ... closing the wound I insufflate iodoform between the raw surfaces, as it checks any tendency to sanguineous oozing, and facilitates primary union. For the purpose of suturing the mucous membrane to the skin, I always employ carbolized silk, and never take out the stitches, as they come away of themselves. Indeed, after the operation, there is no real necessity ever to look at or touch the parts again. Whilst the patient is still on the table, I introduce into the rectum a suppository containing...
Pagina 52 - ... brought below the margin of the skin. The mucous membrane above the hemorrhoids is now divided transversely in successive stages, and the free margin of the severed membrane above is attached, as soon as divided, to the free margin below by a suitable number of silk sutures, after the hemorrhage has been arrested by torsion.
Pagina 172 - On the posterior surface of the body its boundaries are indicated by the following : (1) A line parallel with and one inch from the spine between the lower Tig.