RM2AFJYBJ–. The principles and practice of surgery. ne must be employed ;either the ordinary trephine with verticalcrown, or the conical trephine invented byGait. In using the ordinary vertical trephine, thepin must be placed upon some point of thecircumference of the fracture where the boneis firm, avoiding, wherever it is practicable,such portions as directly overlie venous sin-uses, or the great artery of the dura mater;and when the crown has made for itself asustaining groove, the pin must be withdrawn.While penetrating the external plate thetrephine may be used boldly, but after reaching the diploe
RM2ANJ646–Real-Encyclopädie der gesammten Heilkunde; medicinisch-chirurgisches Handwörterbuch für praktische Ärzte . nden Theil mit seitlichen Einschnitten versehen, damit sich der-selbe in erforderlicher Weise anlegt. Handelt es sich um eine complicirte Fractur,so lässt man die Wunde frei — vorausgesetzt, dass sich dieselbe nicht an dervorderen Fläche befindet — und legt einen antiseptischen Wundverband an, dessenWechsel ohne Abnahme der Schiene möglich ist. Auch Beelys Gyps-Hanfschienenlassen sich in ähnlicher Weise verwenden; man hat nur nöthig, Drahtösen ein-zugypsen und diese an den Schnüren einer
RM2AM2YHF–Modern surgery, general and operative . Fig. 166.—Small round-celled sarcoma ofthe neck. Fis 167.—Spindle-celled sarcoma of sheath of flexortendon of finger. 2. Spindle-celled sarcoma is a tumor composed of large or small spindle-shaped cells l>ang in a matrix, which may be homogeneous, but which may 372 Tumors or Morbid Growths show some attempt at fiber formation. Angular cells and stellate cells areoften present. The cells may be placed in columns, which are at some placesnearly parallel and which at others diverge or interlace. Often there is noorderly arrangement. Spindle-celled sarcom
RM2ANJ7R3–Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 152.—Result in Case Illustrated in Fig. 151. adjustment is good, and when tension upon the sutures iscorrect. (2) Operation for Cleft Alveolar Process.—Cleft of thealveolar process may occur with hare lip without cleftpalate, but it rarely occurs alone. Whether there is or isnot a cleft of the palate, the operation is pretty much thesame. When the bones cannot be approximated by manip-ulation or the screw or wire devices, and especially when 324 CLEFT PALATE. an ex- the free end of the incisive bone extend
RM2AWN6JY–The practice of surgery . Ik.. 1. An ()i.i> time Operating Room.The dome-amphitheater, Massachusetts General Hospital. The first public demonstration ofether anesthesia, October 16, 1846. (After the well-known painting, m the Boston MedicalLibrary, by Hobert Hinckley.;practiceofsurger00mumf
RM2AN6Y41–The Boston medical and surgical journal . Fig. i. There is no fungus with which this one is likely to beconfounded; once seen, it is always remembered andmay be gathered fearlessly. We next find a mushroom with a spongy look un-derneath ; this appearance is due to myriads of finetubes ; this satisfies us it is a Boletus (Fig. 5), a fam-ily which contains no members which are fatallypoisonous. Vittadini says this is not strictly thecase, though many species hitherto reputed unwhole-some, or worse, appear to lose their bad qualities bydrying. Those having high-colored or red tubeshave been consi
RM2AJ82XT–The surgical assistant, a manual for students, practitioners, hospital internes and nurses . FlG. 81. Second suture layer, restoring the external oblique. Cord hasbeen released and retractors shifted to the skin. plant the cord to a new site of exit, or to insert a stitch inthe internal oblique above the cord. Care should be exer-cised that the prongs of the lower retractor do not piercethe femoral vessels lying just beneath Pouparts ligament.The (interrupted) deep sutures are then handed. Asthey are inserted into the conjoined tendon above and the 232 The Surgical Assistant. ligament below th
RM2AM4FYH–Traité de chirurgie .
RM2AJ722T–The Medical and surgical reporter . A SMOOTH PEN FOR RAPID WRITING I ^HESE Pens are manufactured from thefinest metal, and will outlast five ordinarypens. For durability, smoothness of point,uniformity and ease of action, they are superiorto all others. For sale only by JOHN 7 H^OOD Ipnntino anb Enoravino 1345 Arch St., Philadelphia. Price:—75c. per gross ; 3 gross for $2.00.Postage paid. THE MEDICAL AND SURGICAL REPORTER. XV Mellins Fbbil A SOLUBLE DRY EXTRACT of Barley Malt andWheat, for addition to Fresh Cows Milk. Prepared upon the principles advanced by theeminent chemist, Baron Justus vo
RM2AN2DT0–A system of surgery : pathological, diagnostic, therapeutic, and operative . f the tibia, by means of Fig- 348. Seutins scissors, repiesented in fig 348, one of the blades of whichis probe-pointed, and, therefore,well adapted to the object. Thelimb being properly supported byan assistant, the hardened shell isgently peeled off from its surface,which is next carefully spongedwith alcohol and laudanum, orspirits of camphor, when the apparatus is immediately reapplied with the aid ofa roller. Thus, bj simply removing the bandage from time to time, an opportu-nity is afforded of inspecting the lim
RM2AKRJAR–Modern surgery, general and operative . e head, and arterial sedatives). A simple fracturewith moderate depression and without cerebral symptomsis treated expectantly, and so also is a simple fracturein which symptoms existed but are abating. Simple frac-ture with marked depression requires immediate trephin-ing, even when brain symptoms are absent. Wemake an exception in young children, and wait awhile before trephining, in the expectation that theexpansile brain will lift the depressed but elastic boneup to the level. Trephining in cases in which no symptoms exist, althoughthere is marked de
RM2AJE0D0–Industrial medicine and surgery . M 1 I ? Fig. 109.—Soldier patients at Walter Reed Hospital cutting short the time of con-valescence by graduated physical exercise. (Bryant.).
RM2AM5CBC–Traité de chirurgie . FiG. iHk — Blépharoplastie. Procédé en fourche. Fig. 221. — Blépharoplastie. Procédé enfourche. (Hasner.) Application des sutures Celle quil avait adoptée a mérité dêtre décrite sous le nom de méthode par.
RM2ANEAFM–The Canadian journal of medicine and surgery . AD.MlXISTIiATIOX lilJILDIXc;. .MUSKOKA KKKEHOSlITAL FOR CONSUMPTIVES, XKAKGllAVENHUUST.(For incipient cases.). EZ3 LAKEHURST SAXATOlil r:l, (lAKVILLK, UM. 138 Canadian Journal of Medicine and Surgery. SECTION IN PAEJJIATIUCS. The following subjects have been selected for discussion :(a) Congenital Pyloric Stenosis, the medical aspect beingintroduced by Dr. Edmund Cautley, London, and the surgicalaspect by Dr. Harold J. Stiles, Edinburgh, {h) Pneumococcal Infection, introduced by Dr. HenryAshby, Manchester. (c) Pathology of Pneumococcal Infection,
RM2AKNRR5–Modern surgery, general and operative . Fig. 660.—Bi]lrotlis methodof gastro-enterostomy..
RM2AJ63D4–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . aving removed theresected portion, the free edges of the stomach are then brought togetherand placed in position for suturing. The cardiac end is usually larger thanthe pyloric end, and should be equalized by partially suturing one end of the THE ABDOMEN 761 opening. A continuous seromuscular suture is first applied to the posteriorhalf of the stomach. This suture is tied at the upper and lower ends and leftlong. A through-and-through suture of all of the coats of
RM2AJBPBB–Annals of surgery . Fig. I.
RM2AM35DE–Medical and surgical therapy . ell, which is to compensatefor the paralysis of the extensors of the fingers, butthey are more complicated and costly, and they arealso more cumbrous. They are specially useful topatients who have to perform delicate movementswith their fingers. In the majority of cases the simplest appliancesshould be preferred, such as Henry Meiges palmarbutton apparatus. Appliances foe Sciatic Paralyses Shoulder-belt Appliance of Henry Meige.—The prin-ciple of this apparatus is as follows:—The affectedfoot is raised by traction starting from the shoulderof the opposite side by
RM2AM706X–Traité de chirurgie . bords on voit lesVaisseaux former un coude et se perdre surla sclérotique, où ils ne sont représentés quepar des ramifications atrophiées et irrégu-lières. A la partie supérieure de la fente ovalaireon reconnaît la papille. Elle est souvent dé-formée et elliptique, à grand axe horizontal.La rétine existe, mais plus ou moins altérée,au-devant du coloboma de la choroïde. Cette anomalie quil faut savoir diagno-stiquer à lophtalmoscope pour ne pas la confondre avec dautres lésionsacquises de la choroïde, entraîne certains troubles fonctionnels et en particulierune lacune dans
RM2AWCX7P–Real-Encyclopädie der gesammten Heilkunde; medicinisch-chirurgisches Handwörterbuch für praktische Ärzte . enen als Beispiele die Schienenfür Vorderarm und Hand in Fig. 52 abgebildet sind. Dieselben haben nur deneinen Fehler, dass sie für die gewöhnliche Praxis zu theuer sind; das Stückkostet in Amerika 1 Dollar. An die Schienen reihen sich unmittelbar an die Rinnen, und zwar zu-nächst die Flachrinnen, unter denen die von Volkmann für die unteren Glied- VERBANDE. 25 massen angegebene die bekannteste ist. Dieselbe reicht vom Becken bis zum Fusse,bat für die Hacke einen Ausschnitt und für den Fu
RM2AWEABX–Oral surgery; a text-book on general surgery and medicine as applied to dentistry . FiG. 40.—Arsenic Necrosis. ducing necrosis, since the drug, when it comes in contactwith the bone on the side of a tooth, will destroy its nutri-tion, and result in death of the process. Treatment consists in the application of a chemicalantidote—hydrated sesquioxid of iron, if the case is seenearly, but when the destruction is well defined this is of novalue. Extensive necrosis is not usual, the disease beingconfined to the bone immediately around the tooth. Thesequestrum usually separates, and, after its remo
RM2AJ9NK4–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . orta may be liftedforward, and the esophagus freely exposed. By dissecting up the esophagus,and bringing it out in front of the sternomastoid muscle, the danger of in-fection is avoided. THE THORAX 463 Resection of the Thoracic Esophagus.—This operation is done for cancer.Operation cannot offer hope unless the resection is wide of the disease. Thismeans the removal of so much esophagus that anastomosis to close the gapcannot be hoped for. Therefore the steps must
RM2AKPAPC–Modern surgery, general and operative . the puerperal state. The prognosisis grave. In cases developing within ten days of labor 45.5 per cent, died(HUton, Ibid.). Tuberculous Appendicitis (Fig. 614).—^Acute symptoms may develop re-sembling acute appendicitis. There is usually a history pointing to intestinalstenosis, the stenosis existing at the ileocecal valve.^ There is always greatthickening, and an abscess of large size is apt to form. The cecum usually,but not always, is involved in the tuberculous process. Chronic cases, withpalpable enlargement, are sometimes mistaken for cancer of the
RM2AM50H5–Medical and surgical therapy . a. 5 u — 5^ rt V p Q 3 « •=** il tn rr. .2 fe M J- Ci 3 ? « « — i -3 .a 2 5 5 to X! V = .2 o 3(1) » n — o 3 1? £; H d METHOD OF EXAMINATION 19 testing, on the contrary, it is necessary to attach thetesting electrode to the negative pole if it is desiredto investigate what is called the inverted formula. In a normal muscle a greater strength of currentis required to obtain a contraction with the anodalclosure current than is necessary with the kathodalclosixre current. If the contrary obtains, or thereaction with both poles is aHke, there is said to bean inversion
RM2AJARJT–The Medical and surgical reporter . r, winter and summer, in theLawrence Building, 615 and 617 Fourteenth Street, Washington, D. C. Circulars and other additional information can be obtained by addressing either of the under-signed : A. E. STEVENS, WM. A. HAMMOND, M. D., Secretary. President. 615, 617 14th Street, Washington, p. 0. THE MEDICAL AND SURGICAL REPORTER. xvii BROMIDIA. Each fid. dr. contains 15 grr. each Pure Chlo-ral Hydrat. and Purified Brom. Pot., and ykgr. each Cannabis Indica and Hyoscyam.Dose—One-half to one fid. drachm in water orsyrup. PAPINE. The Anodyne principle of Opium
RM2AN4271–A system of surgery : pathological, diagnostic, therapeutic, and operative . ^ observation, an immense number of these excrescences appeared spon-taneously upon different parts of the body within a few months after the firstmanifestation of the morbid action. The peculiar external characters of keloid will readily be understood from theannexed drawing, fig. 194, taken from a colored man upwards of fifty years of Fig. 194.. Keloid tumors. age, whose body was literally covered with morbid growths of this kind. Theywere particularly numerous on the neck and trunk, both in front and behind, andals
RM2AJAB72–Annals of surgery . sluggish; the wound is healing very slowly, and in everyphase of the case there is confirmatory evidence of the unsatis-factory material of the patient. Last observation, two monthsafter operation. Patient is out of bed and about, but still inunsatisfactory general physical condition. Perineal wound hasnot entirely healed, and there remains some leakage between theurinary acts, which are about from one to two hours. Yet thereis slow but progressive improvement of the bladder, the general PROSTATECTOMY IN TWO STAGES. 573 condition and the dribbling, and it would seem that ul
RM2AKMWEG–Modern surgery, general and operative . Fig- 754-—Mayos operation for the radical cureof umbilical hernia: Exposure of hernia and lateralincision. Fig- 755-—Mayos operation for the radicalcure of umbihcal hernia: Peritoneum su-tured. the peritoneum is stripped from the under surface of the upper flap. Severalmattress sutures of silver wire are introduced i inch above the edge of theupper flap and are carried through the margin of the lower flap; suJB&cient trac-tion is made to permit of the closing of the peritoneum with a continuous catgut.
RM2AN58TW–A system of surgery : pathological, diagnostic, therapeutic, and operative . o effect a rapid cure ; I am certain, from muchobservation, that nothing else is at all comparable to it. Nevertheless, instancesoften occur where, either on account of the patients condition in life, or theexhausted state of his health, exercise in the open air is absolutely indisjoensable;under these circumstances, the part should be as carefully protected as theexigencies of the case will admit of, fatigue and protracted dependency beingespecially guarded against. The bandage in particular will usually be found tob
RM2AJA6HM–The Medical and surgical reporter . a remedy prepared from the active principle of theBerries of Phytolacca Decandra..^ ThYTOLINE is the only Remdy that wiirabsorb fattytissue in ajreat degree without.any evil after effectsVhatsoev^r.By its powerful though harmless action it replaces morbid tissue OFTHEffEflRT, PRESCRIBE:. THIS STYLE ONLY.^
RM2AM40MT–Traité de chirurgie . FiG. 358. — Ai)pareil de de Grœfe. FiG. 550. — Appareil de GolTres. abaissées; on les maintient à la hauteur voulue à laide dune vis de pression. Cest sur le même principe, mais avec des variantes dans lexécution, quesont basés les appareils de Coffres et de Prestat. Jajouterai que, si la fracture laisse après elle une perte de substance, la pro-thèae pourra y remédier. II FRACTURES DU MAXILLAIRE INFERIEUR Bien que les fractures du maxillaire inférieur soient plus communes quecelles de la mâchoire supérieure, elles ne sont cependant pas 1res fréquentes.Malgaigne dit que,
RM2AN2G3N–The Medical and surgical reporter . Fig. 69, shows the appearances of the preced-ing diagrams, but more extended. The anato-mical character we have brouglit under your no-tice under the pathological head to which werefer you. i8 COMMUNICATIONS. [Vol. X. Fig. 70.
RM2AJ7A35–The Medical and surgical reporter . XX THE MEDICAL AND SURGICAL REPORTER.. GET A COPY OF THE Model Ledger. PRICE, $4.00. Address Publisher of Medical and Surgical Reporter, p. o. box 843, philadelphia. I^II«^E>I]V ! The Ideal Expectorant WH Y ? 1. IT CONTAINS all the es- sential ingredients to relieveCoughs. 2. IT IS COMPOSED of the Balsams associated withPhosphorus, Iodine and Bro-mine. 3. EXPERIENCE has veri- fied the effectiveness of thecombination. 4. IT CAN BE GIVEN IN ALL cases where Cod LiverOil is prescribed. DISEASES where prescribed and found un-surpassed. ACUTE AND CHRONICBRONCH
RM2AN17MA–A system of surgery : pathological, diagnostic, therapeutic, and operative . ension. If, after the apparatus has been applied, the limbis not sufficiently steady, adhesive strips must be used, as represented in the en- graving Suspension of the leg may sometimes be advantageously practised, both as itrespects the comfort of the patient and the welfare of the fracture. It may bedone according to the method recommended, many years ago, by Professor N. E.Smith, or the very simple contrivance of Mr. Salter, of England, depicted in fig.432, representing the limb surrounded by the apparatus and slun
RM2AJ0A1G–Brooklyn medical journal. . mpensatory curve is found in the upper dorsalregion, the concavity of which presents in the opposite direction.In all cases there is marked projection of the angles of the ribsupon the unsupported side, indicating more or less rotation of thebodies of the spinal vertebrae toward the right. The ribs upon theleft side approach each other and the crest of the ilium, shorteninghi a very marked manner the body line upon that side. The spacesbetween the ribs on the right side are proportionately widened,and the lengthened body line lacks the curve presented by the op- THE
RM2AJE4KW–Industrial medicine and surgery . imsjm. Fig. 96.—Measuring strength of grip by the tycoa sphygmomanometer.(From McKenzie, Reclaiming the Maimed.) F. W. Harvey. TREATMENT OF INJURIES 559. Fig. 97.—Wrist abduction in action. E, beginning of wrist extension. F, correctposition of arm in pronation. (From McKenzie, Reclaiming the Maimed.)
RM2AM7J96–Traité de chirurgie . on ; le larmoie-ment est très peu marqué. Mais il arrive assez souvent que la partie voisine dulimbe cornéen sinfdtre et se sclérose ultérieurement. Lopacité persiste et lacornée semble avoir été envahie par un prolongement de la sclérotique limitéjtar un arc de cercle à petit rayon. On observe quelquefois plusieurs échancrures de ce genre sur la cornée dessujets qui ont eu des poussées dépisclérilc successives. La marche de lépisclérite est essentiellement chronique. Lévolution dunedes larges papules qui la constituent dure au moins six semaines et se prolongeparfois plu
RM2AKWPMF–Modern surgery, general and operative . continues inexorably.Bony masses form aroimd the articular ca^-ity, in the ligaments, and in thecartilages. The bones and cartilages are rapidly destroyed and absorbed;fracture is apt to occur; the jouit creaks and grates; the softening and relax-ation of the Hgaments permit an extensive range of movement; great deform-ity ensues; dislocation is apt to occur; muscular atrophy is decided, andpus occasionally, though verv* rarely, forms. There is sometimes, but seldom,repair. Charcots joint differs from rheimiatoid arthritis in the usual acuteonset and the
RM2AFJH1E–. The principles and practice of surgery. made two linesin length, and then slowly with-drawn, while the aqueous humorescapes. A curved needle is nowintroduced and the capsule cut;when, if the lens does not presentitself spontaneously, slight pressureupon the opposite side of the ball will generally succeed in effecting-itsextrusion. In some cases it will be necessary to facilitate the escape of a pulpycataract, by making the corneal wound more patulous by pressure uponits posterior margin with a Daviels spoon, as represented in the wood-cut. Finally, if these measures fail, the lids must be c
RM2AJ6012–The Medical and surgical reporter . y^^pty Physicians generally throughout the country are very much pleased with XHE NEWA]NXIPYREXIC and AXAI.OESIC, because unlike so many of the kindradremedies it never disappoints, but has most remarkable therapeutic effects. If you have nothad a sample drop us a card, and we will be pleased to send it to you. Price in one ounce cans (487| grs.) 60 cents. PHENA TRO CINE CHEAIC/L. CO., Pbil2^clelpbi2tt Pzi., U. S. A« PHYSICIANS AND VISITING LIST AT REDUCED RATES. We have a few Pocket Records, «ndated, which will be disposed of at 76 cts. each, to close out
RM2AJBH6X–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . of benzoin, containing5 per cent, of iodoform. A useful varnish is made of compound tincture of 296 SURGICAL TREATMENT benzoin, in which, for the rectified spirit, is substituted a saturated solutionof iodoform in ether, the ether having mixed with it 10 per cent, of turpentine. It is a wise precaution to leave the silk ligature through the base of thetongue, in order to make traction in case the patient has intractable closureof the glottis. This may be removed i
RM2AWM7AF–The practice of surgery . are at the bottom of most operable gastric dis-orders, but we must name also the complications of ulcer—pyloricobstruction; gastrectasia, or dilatation of the stomach; hemorrhage; PEPTIC ULCER 129 distortion of the stomach (hour-glass stomach); adhesions; tetany.Then there is that curious condition, spasm of the pylorus; stenosis ofthe pylorus in infants; cirrhosis and gastroptosis. PEPTIC ULCER It is probable that 5 per cent, or more of all mankind suffer fromgastric or duodenal ulcer, first and last. The precise frequency of suchulcers seems impossible to determine,
RM2AM4BWM–Modern surgery, general and operative . ?Siphon (Esmarch). Cold in Treatment of Inflammation 99. Fig. 53.—Ice-bag (W. E. Ashton). emptying into a bucket. A vessel filled with cold water is placed upon ahigher level than the bed. A wet lamp-wick is now taken, one end is insertedinto the water of the vessel, and the other end is laid upon the part. Capillaryaction and gravity combine to keep the part moist. A rubber tube may beused instead of a wick. If a tube is employed, tie it in a knot or clamp it sothat the fluid is delivered drop by drop (Fig. 52). Ordinary water or icedwater can be used.
RM2AJD260–Industrial medicine and surgery . out a liveli- ^5 j hood, for example broom making, piano tuning, bas-ketry, etc. As a part of theplans for the blind soldiersfuture, industrial engineers,working under the directionof Lt. Colonel James Bord-ley, have made extensivesurveys of many differentindustries and have alreadyfound 208 different occu-pations which these mencan perform after a certainamount of training. Menblinded in industry in thefuture should have a muchhappier existence than hasusually been afforded themin the past provided thislesson is driven home (Fig.208). When the physical re-con
RM2AM57H8–Traité de chirurgie . optiques en procédant de cette façon. Avancement mlsculaiiu:. - Jules Guéiin a, le premier, eu recours à lavance-ment du tendon antagoniste; mais il fixait le tendon détaché de son insertion, enun point plus rapproché du limbe cornéal, à laide de sutures traversant lasclérotique, procédé essentiellement dangereux. Critchett et de Graefe ont per-fectionné la métho(Je en montrant que la suture à la conjonctive suffit pourassurer les adhérences du tendon dans sa nouvelle position. Opération. — Lavancement musculaire nécessite les mêmes instruments quela ténotomie. 11 faut y
RM2ANHJH8–The practice of surgery . e asa dinner-plate, when situated between the shoulders, is not troublesome.A fatty tumor the size of a mans thumb, if it protrude into the knee-joint, may cause great pain and result in serious crippling. Thelipoma arborescens of Midler is xhe common example of the latter TUMORS OF THE CONNECTIVE-TISSUE TYPE 827 form, the joint lipoma, and is often associated with rheumatoid arthritis.Subserous lipomata situated behind the peritoneum may attain enormoussize; may occur at almost any age; may seriously interfere with visceralfunction; and may be mistaken for grave abdo
RM2AN42R5–A system of surgery : pathological, diagnostic, therapeutic, and operative . ut are apt to attain an extraordinary size. Of theexciting causes of warts, nothing is known ; they often occur in several membersof the same family, and instances are observed in which they betray a hereditarytendency. A wart is a hard, insensible excrescence, generally of a conical shape, moreor less movable, and attached by a broad base, although sometimes the reverseis the case, the union being effected by a very narrow pedicle ; its surface isrough, fissured or tuberculated, and usually a few shades darker than t
RM2AJBXEE–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 968. — Operation forDouble Harelip with Cheek Flaps.Lines of Incision. First Stage..
RM2AM536F–Traité de chirurgie . des sciences méd. de Lyon18.»3. et Arrh. duphtulm., l. 1, p. iWI, 1894. Le nuiuhro dos oljsorvalions acIiKllcMnent connues osl donc considérable. Tou-lelbis quel(iues-unes denlre elles lont certainement douMe ernj)loi, le même faitayaiil élé piihlié sous deux nomsdilïVients. Étiologie. — Les tisatiles de lorhite sont 1rigine spontanée, les ;famine trau ma tique. Cas spoiitatiés. — Ilsserves en t^irande majorfemmes, et dans la péri»à cinquante ans surtoutviolents et avant tout ceux dcouchement en sont la causesionnelle; mais, danscertains cas, cettecause occasionnellefai
RM2AJA2MB–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. i i 12.—Catheter with Silk Thread Through the Apex, used by Author, in the Esophagus. After beginning dilatation has been secured a drainage tube may be pulleddown into the stricture and left there for a few days. The size may be in-creased from week to week. As soon as dilatation, sufficient to admit an 8 or. Fig. i 113.—Cutting Stricture of Esophagus with Silk; Thread. The bougie is engaged in the stricture through a gastrostomy opening while the thread-saw
RM2AFHJ5K–. The principles and practice of surgery. ntraction and reunion of the divided parts,Dr. Bozeman uses an oiled-silk bag stuffed with sponge, which is keptfirm by tying up the mouth, and removed every day to be cleansedwith carbolic acid or with solution of chlorinated soda. The bag itselfgets rough and must be renewed every second or third day. The rawsurfaces are encouraged to cicatrize by brushing them with a solutionof arg. nitr. 3 i. ad aq. 3 i. freely applied, which affords great comfortto the patient. Position of the Patient.—The knee-elbow position, once exclusivelyemployed by Dr. Bozem
RM2AWD14Y–Real-Encyclopädie der gesammten Heilkunde; medicinisch-chirurgisches Handwörterbuch für praktische Ärzte . Coover nimmt nach Ablauf der ersten acht Tage einen wöchentlicheinmaligen Verbandwechsel vor, säubert die Haut und lässt die Finger allmäliggebrauchen. Am Ende der zweiten Woche schneidet er den cylindrischen Theilder Schiene weg und lässt von den Fingern ausgedehnteren Gebrauch machen.Am Ende der dritten Woche entfernt er die Schienen. Ist eine gestreckte Lageder Finger erforderlich, dann kommt die in Fig. 47 abgebildete Schiene zurAnwendung. Fig. 47.. Für diejenige Form der Radiusbrüche
RM2AKMK0A–Modern surgery, general and operative . Fig- 775-—Examination of the rectimi by reflected light (Kelly). patient is placed in the knee-chest position. A tube containing an obtu-rator is well greased with vaselin. The buttocks are drawn apart, andthe blunt end of the obturator is laid on the anus, which is als^ coated with Examination of the Anus and Rectum 1169 vaselin. The direction of the instrument should be first downward andforward, and, when the sphincter is well passed, up under the sacral promon-. Fig. 776.—^Kellys rectal specula. tory. The moment the speculimi clears the sphincter ani
RM2AM34WF–Medical and surgical therapy . A B Figs. 42 and 43.—Appliances for foot-drop. (Henry Meige.) Sling passing from the opposite shoulder to the affected foot and hold-ing up an elastic suspender fixed to the sole of the boot. A, bytwo attachments (paralysis of all the muscles raising the foot):B, by one attachment to the external border (paralysis of theexternal popliteal). drop is very inconvenient when walking, and of pre-venting a steppage gait. In paralysis of the antero-external group of musclesa single attachment to the outer border of the boot issufficient. As a rule, to enable the foot to
RM2AWDYW9–The practice of surgery . they lie is derived from the deepcervical fascia, and is known as theexternal thyroid capsule. Occa-sionally there exist wandering groups of parathyroid cells or glanduleseven, sometimes outside of the th3roid gland and sometimes within it.The thyroid gland itself lies beneath the suixrficial muscles of theneck,—the platysma, stemomastoids, sternothyroids, etc.,—and isregarded as having two capsules—the loose external capsule of whichI have spoken (which contains the recurrent laryngeal nerve) and thefirm iimer capsule proper, which strips with difficulty and sends pr
RM2AFNKD1–. The principles and practice of surgery. cross and compress the mouth of the bleeding vessel, isagain brought to the surface through the integument at an oppositepoint, just in the same way that in fastening a flower to the lapel ofour coat, we cross and compress the stalk of it with the pin. Acupressure, as devised by Sir James Simpson, has been variouslymodified in the hands of different operators, and it is now customary toindicate these modifications by ordinals, as the first, second, etc. The second method consists in inserting a needle, threaded with twisted and annealed iron wire, into
RM2ANHCH0–Oral surgery; a text-book on general surgery and medicine as applied to dentistry . Fig. 202.—Notched Drill and Wire. Showing method of attaching thread. of about half an inch. The object in wiring was to pull theanterior fragment upward against the posterior. Sincethe molar was perfectly solid, it served for an anchorage.The drill was passed through between the roots of the bi-cuspids. This furnished an upward and backward tractionand a perfect adjustment w^as not difficult. Union followed,and the wire was removed in six weeks, with perfect articu-lation and no external deformity. 400 FRACTUR
RM2AM3Y1F–Traité de chirurgie . ce de Panas, un ma-lade qui, ne pouvant supporter aucun desappareils quon lui avait appliqués, sétaitconstruit lui-même un petit appareil trèssimple et parfaitement suffisant. Il se com-posait dune tige recourbée, appuyant surla partie de larcade dentaire qui sélevait au-dessus du reste de la mâchoire,de façon à labaisser; cette tige prenait son point dappui sur une ceinturefixée sous les aisselles du malade. Il me reste à parler des méthodes de traitement qui agissent directement sur lesfragments eux-mêmes. Elles sont au nombre de deux : la suture osseuse et laligature o
RM2AJ6PF6–The Medical and surgical reporter . operations-for the Hernial Infirmity of every type, in both sexes,along with a full descripti u of the varied anatomicaltypes of the conditions and the multiplicy of techniqueof modern times; it hlso embraces an entire chapter oncocaine analgesia as a substitute for pulmonary anaes-thesia, with a full complete set of rules for its indications-and technique. Price $3.00 mailed to any address. Published by the Aedial Prejj Co. Limited, 1?25 flrcbSt., PJ)il4. To which all orders should be addressed. PHYSICIANS AND VISITING LIST AT REDUCED RATES. We have a few
RM2AM4F6H–A system of surgery / Benjamin Bell . have mentioned concur to renderthe fuhfequent fever, and every conco-mitant fymptom, more violent than wecommonly find them in patients whohave heen reduced by confinement anda low regimen, and who, from havingfull leifure to reflect upon the danger oftheir fituation, are, from their own con-viction of its being neceffary, very rea-dily induced to fubrnit to the operation. A patient may indeed be brought folow as to make the fuccefs of the opera-tion doubtful from this caufe alone : Buta practitioner may always guard againftthis by propofing the operation
RM2AN2EY0–The Medical and surgical reporter . p, placed at the upper end of thesplint, fastens it to the body. When this appa-ratus has been used, it is easy to shorten the longsplint by folding it up to the other simple splintssame in thickness, which must necessarily bedouble, (fig. 6.) Application, On a healthy body wounded in the thigh. 1. The person is laid in the horizontal position.2. The dressing is quickly opened, and spread outsmoothly by the side of the thigh supposed to bewounded. 3. The long splint is drawn out inboth directions to its utmost length without with-drawing it from the canvass
RM2AWPAC3–The Medical and surgical reporter . Prize Medal*. Silver Medal. Gold Medal. Medal of Merit, BOUDAULTS PEPSINE IN POWDER, also WINE, ELIXIR, SYRUP, PILLS, AND LOZENGES OF PEPSINE. ^..f^^^6^^0^01*011 of Pepsine by Boudault in 1854, BOUQAULTS PEPSINE HAS BEEN, AND IS STILLCONSIDERED, THE MOST RELIABLE, as is attested by the awards it has received at the Exhibitions of 1867.068,1872, 1873, and in 1876 at the Centennial Exposition in-Phd-tdelphia. IT IS THE ONLY PEPSINE USED IN THE PA21IS HOSPITALS .r ,CAr^uLStwi,n Jenable an^ OTie to satisfy himself that BOUDAULTS PEPSINE HAS A DIGESTIVE POWERJ LE
RM2AJEKP9–La pratique de l'asepsie et de l'antisepsie en chirurgie . Fig. 19. — Étuve du professeur Guyon à acide sulfureux. adapté. Le récipient à bisulfite de soude communi-que avec le dehors à laide dun tube qui longe létuveet est terminé à hauteur du couvercle en forme den- DÉSINFECTION DE CERTAINS INSTRUMENTS. 91 lonnoir.Cest parla quon verse lacidechlorhydriquequi, agissant sur le bisulfite de sonde, va produire undégagement abondant dacide sulfureux.. Fig, 20. — Coupe de Tétuve à acide sulfureux. Ce procédé désinfecte les sondes les plus infectéeset présente le grand avantage de pouvoir être em-p
RM2AJD70C–The Medical and surgical reporter . xcepting to delay the closure of thewound. By the middle of September he beganto expectorate some bloody mucus, pre-sumably coming from the ulceration ofthe carcinoma in the oesophagus. He hasgained about four pounds in weight, how-ever, since the operation. For someweeks he has been unable to swallow evena mouthful of water. What nutritivegain there is from feeding, I presume hasbeen almost counteracted by the progressof the disease. Immediately after theoperation he was fed for two days byrectal enemata. Then I began with smallamounts of milk, poured into
RM2AJ9W38–Annals of surgery . Fig. 3.—Case XI: Microphotograph of a section from metastatic hypernepliroma in upperend of humerus. Oval polygonal cells—preservation of rim of cytoplasm, deeply staining nucleus,perinuclear lightly staining spaces. Microphotograph by Mr. Brown, M. G. H. Laboratory.. Fig. 4.—Case XI : Microphotograph of a section from metastatic hypernephroma in upper end ofhumerus. Higher power than in previous plate, No. 3. BONE METASTASES OF HYPERNEPHROMA. 853 September, 1905. J. J. A., a man thirty-four years old. Hasalways been well and strong. For eleven months he has had painand dis
RM2AKNKMA–Modern surgery, general and operative . ween the terostomy: The first layer of serous sutureclamps (Moynihan). (Moynihan). Moynihans Method of Gastro-enterostomy 1099 Nov., 1902). This operation positively prevents the entrance of materialfrom the duodenal loop into the stomach and also drains that loop. Moynihans Method.—This plan I have employed repeatedly. It is easy,rapid, and clean: jSIake a 4-inch incision i inch to the right of the middleline and above the umbilicus. Open the anterior sheath of the rectus andseparate it from the front of the muscle as far as the middle Hne. Draw theenti
RM2AJBYA9–The Medical and surgical reporter . Saris,. XII THE MEDICAL AND SURGICAL REPORTER:
RM2ANJ00E–Oral surgery; a text-book on general surgery and medicine as applied to dentistry . n of the premolarteeth. It will be no-ticed that the septumof the nose is deflectedand the spur comes incontact with the rightturbinal. The frontalsinuses are large, ex-tending outward overthe orbits. They alsoextend down belowthe middle of theorbit. Between thetwo frontal sinusesthere is an inter-frontal cell extendingbackward into thecrista galli, which isshown in Fig. 167. Itwill be noticed that awire passes from theright frontal sinusdownward and is againseen in the antrum. 336 DISEASES OF THE SINUSES in th
RM2AJB8BB–Annals of surgery . he tissues underneath the arms of the clamptwo, three or four times, as the extent of the disease mayseem to require, until all of the tissues grasped by the clamphave been included. (Fig. 7.) The clamp is now loosened byslight manipulation, and withdrawn, after which the liga-ture is drawn up tight, by which maneuver the entire siteof the pile is included in the line of suture down to the pointof the mucocutaneous junction. If the incision has been at all extensive, it is well toknot it here and suture the skin incision outward by aseparate line of suturing. In the less ex
RM2AWKBGT–Bulletin . ^^ ^^ • ^* •- ^. •Approved for publication by the Committee for the Treatment of Fractures of the American College of Surgeons. i6 AMERICAN COLLEGE OF SURGEONS
RM2AJBEFP–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1003.—Lines of Incision for Incising Drum Membrane.AB, Incision made from above downward in case the atrium is filled with fluid; CD,incision for evacuation of exudate; EF, incision made from below upward in case themucous membrane of the attic is much inflamed. The incision (EF) is carried through thedrum as far as the upper limb of the ring and then continued outward through the skinof the postero-superior wall of the external meatus. discharge, the amount
RM2AWDHAW–Mémoires . e alcali-akaline o- - ^^^ laquelle va jufquà un degré de malignité qui peutproduire des effets funeftes. Nous nous reffouviendronsenfin, que, plus les fels de nos humeurs font travaillés parle jeu des vaiffeaux, plus ils tendent à salcalifer; mais quecette feule caufe ne fuffit pas peur les alcalifcr parfaite-Acrimonie ment. On a été attentif à obfcrver, que dans les plusalçalefcente. gj-^j-jjgs fiévres, & dans les plus grandes agitations deshumeurs, fi nos fels ne saicalifent pas parfaitement,ils peuvent cependant acquérir par cette même caufeun degré dacrimonie alçalefcente, qui f
RM2AJ71XF–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1340.-—Anastomosis Buttons of Murphy. forceps removed and the two halves pressed together. The mesenteryis then sutured. A few interrupted musculoserosa sutures may be added(Fig. 1342) although not considered necessary. In this operation careshould be taken that the button fits easily, that the pucker caused by thepurse-string is evenly distributed, that the ends of the suture are cut short, 670 SURGICAL TREATMENT and that serosa is opposed to serosa as the p
RM2AG4P7F–. The principles and practice of modern surgery. SECTION IV. OF ANEURISM BY ANASTOMOSIS AND N^VUS. Aneurism by Anastomosis is a pulsating tumor, generally situated inthe subcutaneous tissue of the head or neck, or sometimes in the extremi-ties. It is formed of several enlarged and tortuous arteries, whose coatsare excessively thin; and which are accompanied with many dilatedveins, which feel like a bundle of worms. Fig. 95.. N^vus is a similar affection, consisting apparently in an enlargementof very many small arteries, which form a kind of erectile tissue. Itappears soon after birth as a sma
RM2AN3D02–A system of surgery : pathological, diagnostic, therapeutic, and operative . before the pro-fession. In the case of a negress, aged thirty-two, who was under the joint care of my sonand myself, in 1859, on account of a large aneurism of the upper third of thefemoral artery, the assistants succeeded in effecting complete solidification ofthe contents of the sac in forty-six hours, by digital compression alone. Thetumor progressed most favorably, and in less than three weeks after the opera-tion, the woman was able to walk about the house. In this case, referred to ina previous section, there wa
RM2AFK7X0–. The principles and practice of surgery. Epulis.. Myeloid Cells from same. tions of an arborescent or spherical form. When they occur in thelower extremities they become very vascular, and present frequently adistinct bruit, so that they have been mistaken for aneurisms. VASCULAE TUMOES. 493 The fibro-plastic and the myeloid tumors are often associated ; andit is especially observed that the myeloid structure is prone to increaseand displace the fibro-plastic elements as the tumor progresses, or in itssuccessive recurrences after removal. For this reason, and withpropriety, the two forms have
RM2AWEAE1–The practice of surgery . and tendsto envelop the bone. It appears at the edge of the teeth as a curious pig- Fig. 371.—A follicular odon-toma from the right half of themandible of a boy aged fourteenyears (Bland-Sutton in KeensSurgery). TUMORS OF THE JAWS 563 merited excrescence, and is the only form of pigmented sarcoma thatis not exceedingly malignant. If untreated, it spreads gradually so asto involve largo portions of the jaw, and causes falling of the teeth untileventually, and after many years, it kills the patient through encroach-ment upon, and destruction of, important organs. It is
RM2AJ80KW–The Medical and surgical reporter . a medical manwhose experience and character justify the strongestrecommendations. PRICE iY% ^^,f^ ^f ^ (Small * I oo AddresSj MEDICAL AND SURGICAL REPORTER, p. 0. Box 843. PHILADELPHIA. dOMpOUBD TALCD^ ? ?t ? BABY pOtfDER, THE -•? ^*HYGIENIC DEItMAL POWDEn* INFANTS AND ADULTS. Originally investigated and its therapeutic properties discoveredin the year i868, by Dr. Fehr, and introduced to the medical andthe pharmaceutical professions in the year 1873. ••MPOSITIOX :—Silicate of Magnesia with Carbolic and Salicyll* ^ Acids. FMOPERTIES :—Antiseptic, Antizymotic
RM2ANEMJT–The Canadian journal of medicine and surgery . HOTEL DIEU HOSPITAL, WINDSOR, QXT. perfect network of a railroad system has superseded the long,tedious jaunts by stage or cart. Provided the man is young,strong, willing to work and has sufficient means to establish him-self in a cattle ranch or farm, his prospects are good. A mannervous with the strain of a city life, cuml)ered with a wife andsickly young children, had better far stay in the Old World, whereothers have ploughed for him and home comforts surround him.Such a settler is unsuited to the life of the West, and a nuisanceto the Canadia
RM2AFHWJT–. The principles and practice of surgery. ra or mortisein the opposite blade. There is,also, a shoulder projecting on eachside of the blades for the purposeof crushing more perfectly thetissues. This instrument does not,like the ecraseur of Chassaignac,completely sever the parts towhich it is applied, but onlycrushes them, leaving a small pe-dicle, to which Dr. Nott advises,as a matter of prudence, in thecase of internal piles, the appli-cation of a ligature. The vital-ity of the tissues being destroyedby the ecraseur, the ligaturecauses no pain. Some yearssince Dr. Isaac E. Taylor, ofBellevue
RM2AJCJJ8–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 887.—Tracheotomy Tubeof Aluminum or Silver.. Fig. 888.—Tracheotomy Tube of Soft Rubber. surgeon shall have no trouble in keeping exactly in the median line. The deeplayer of the deep fascia lies across the floor of this space and splits to enclose theisthmus of the thyroid between its layers. The isthums is recognized as abulge of soft glandular tissue lying in front of the trachea. Usually one ringof tracheal cartilage lies above the level of the isthmus. Th
RM2AJ8RAJ–The Medical and surgical reporter . KlllXMM> Chemist and Graduate of the Ecole Centrale des Arts et Manufactures de Paris {France). SOLD BYiCAOING DRUGGISTS. Laboratory, 28 Prince St., New York THE MEDICAL AND SURGICAL REPORTER. MARMI&CO. Paris: 41 Boulevard Haussmann London: 2,39 Oxford St. New York: 52 West 15th St.. STANDARD COCA PREPARATIONS. Introduced through the MedicaJProfession since 1863. VIN MARIANl (Wine), ELIXIR MARIANl (Cordial),THE MARIANl (Extr. Fluid),PATE MARIANl (Lozenge),PASTILLES MARIANl (Lozenge),(Coca and Cocaine). IMPORTANT New Yoek, 52 W. 15th St. To the Medical Pr
RM2AJ9ME0–The Medical and surgical reporter . lliiiliiiLIN^. ce fe^-i
RM2AJC89M–Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 924.—Excision of Lower Lip with Provision for Sliding Chin Flap. down to fill the defect in the lower lip if the mouth is not small (Figs. 920and 921). Flaps may be turned down from the cheeks to reconstruct a wholelower lip (Figs. 922 and 923). A new lower lip may be reconstructed by slid-ing up the tissues of the chin (Figs. 924 and 925).. Fig. 925.—Lip Restored by Sliding Chin Flap. Benign Tumors of the Lip.—-Angioma of the lip may be treated by themethods
RM2AJDC88–Industrial medicine and surgery . Fig. 169.—Multiple bone cysts, osteitis fibrosa, of hands discovered in an ap-plicant for work. Under present compensation laws the employer could be heldresponsible for subsequent fractures. inflammatory affection of the bone and medullary tissues, known asosteitis fibrosa..
RM2AN5B21–A system of surgery : pathological, diagnostic, therapeutic, and operative . ofaccommodating themselves to its presence, and, therefore, often intolerant ofinterference. When the quantity of matter is small, removal is occasionallyeffected by absorption, the process being sometimes advantageously aided byinternal and external remedies, especially the iodide of potassium and the bichlo-ride of mercury, together with sorbefacient plasters, unguents, and embrocations.These means are more particularly available in chronic abscesses of the glandsof the neck, groin, and axilla, and in those of the m
RM2AWKD4G–The chirurgical works of Percivall Pott .. . Tu//f//? V JWa7-rh /oiji)o, /,v .T.J^//i/>it.S.^jl^au/s ChuraL Z,iid. THE CHIRURGICAL WORKS OF ^3 PERCIVALL POTT, E R. S. SLRGEON TO ST. Bartholomews hospital. A NEW EDITION, WITH HIS LAST CORRECTIONS, To wliich are added, A SHORT Account of the Life of the Author, A METHOD OF CURING THE HYDROCELE BY INJECTION, AND OCCASIONAL NOTES AND OBSERVATIONS.BY 8IR JAMES EARLE, F.R.S. SUnCEON rrnuAORDiNARY to the king, .Sfc. £f!c. A oertis potius et exploratis petendum esse proesidium ; id pst, his<x Experisntia in ipsis GMAN, HURST, REES, AND OllME; CA
RM2AJEF29–La pratique de l'asepsie et de l'antisepsie en chirurgie . que possible de reliefs pouvant devenir desnids à poussière; toute la tuyauterie sera reléguée dansla pièce latérale qui servira de laboratoire à celui oucelle préposée à la préparation des instruments, destampons, compresses, fils, etc., etc.; en un mot detous les accessoires dune opération. Il est de toute nécessité, la préparation des panse-ments, la stérilisation des gazes, ouates, tampons, fils,celle des instruments, etc., jouant un rôle fondamentaldans la pratique de lasepsie et de lantisepsie, quune per-sonne spéciale soit affec
RM2AJEGJG–La pratique de l'asepsie et de l'antisepsie en chirurgie . quand il sagit dulcérations fétides etichoreuses, de sphacèles plus ou moins étendus, quàlaide de ces mélanges on arrive à embaumer pourainsi dire la partie atteinte, à éviter une mutilationimmédiate et à permettre lélimination naturelle tou-jours plus parcimonieuse que celle quamène un actechirurgical. DU PANSEMENT HUMIDE. Nous nemployons plus le pansement humide quelorsquil sagit de plaies accidentelles ou opératoiresinfectées, enflammées ou présentant une complicationseptique grave. La technique du pansement humide est la suivante :
RM2AFW91T–. Transactions of the Western Surgical Association. Fig 13. Lateral and anterioposterior views ofthe elbow, which shows that it is next to impossibleto restore the joint without an open operation..
RM2AJA2EF–Annals of surgery . tudinal incision through the peritoneum over the rightureter, and its isolation, above the promontory of the sacrum, were made.Retracting the ureter laterally, a retroperitoneal dissection, largely bj thefinger, but assisted occasionally by the handle of a scalpel, was madetoward the mid-line, penetrating in the layer of connective tissue betweenthe inferior vena cava and aorta posteriorly and the peritoneum anteriorly,until the left ureter was reached and identified. After liberating this fora sufficient distance it was brought across to its fellow, incised, the distalextr
RM2AJ71PC–The Medical and surgical reporter . Philadelphia. Washington, D. C, April 17, 189S. Dear Sir: It gives me great pleasure to testifyto the value of the Bedford Mineral Springs Water infunctional diseases of the liver. I have frequentlyspent a part of the summer there during the lasttwenty years, and am qualified from actual experiencein noting its effect upon many cases to certify to itsefficacy. In my opinion there is no other water inthis country equal to it for the class of cases mentioned. Very truly yours, FRANCE HYATT. M. D. Physicinn to the late James G. Blaine. The Springs Hotel is open
RM2AJBBDP–The Medical and surgical reporter . gestion,to tone up the nerve forces, to encourage peristalsis of the bowels, and to remove spasmodic conditions. WO nrsTtrs M^ti^^ 0/rwece/PT of-^/.oo. Af£Lif£ft PNi/e- CO M m.miMi/r ST- snomM, COMpOOHD TALdOrrj k %f % BABY poWDER, ^*HYGIENIC DEItMAL POWDEn FOR INFANTS AND ADULTS. Originally investigated and its therapeutic properties discoveredin the year 1868, by Dr. Fehr, and introduced to the medical andthe pharmaceutical professions in the year 1873. ••MPOSITIOJff:—Silicate of Magnesia with Carbolic and Salie^i Acids. 9SOP£RTI£S:—Antiseptic, Antizymotic
RM2AKME9W–Modern surgery, general and operative . Fig. 791.—Skinners mask. Fig. 792.—Junkers inhaler. and vomiting at this time mean that the vapor is too strong. During thestage of excitement do not suspend the administration of chloroform unlessrespiration becomes difficult, in which case suspend it until the patient takesone or two respirations. If the patient struggles, do not hold him, and pushthe administration of the drug. He holds his breath while struggling, andas struggling ceases takes full, deep breaths. If the inhaler is saturated withchloroform, he may inhale a dangerous amount during the
RM2AFM6YH–. The principles and practice of surgery. the thigh in continuity. There are, however, many cases present-ed in which the circular incisions possessan advantage. When the limb is verylarge, either in consequence of unusualmuscular development, from an abund-ance of adipose tissue, or from serous in-filtrations, the pendulous masses formedby the flap method often give rise to ex-cessive suppuration and pyaemia; but inthighs of moderate or average size theflaps generally do well. When the flap method is chosen, la-teral flaps are to be preferred in thelower third of the femur, on account ofthe i
RM2AX26P8–A hand-book of surgery: with fifty illustrations . e made by in-serting the knife by the side of the thigh, as in Fig. 37, instead ofupon its anterior surface. The objections to the flap operation arethe injuries to vessels and nerves, by transfixion and oblique divi-sion. AMPUTATION AT THE HIP JOINT. This operation is rarely necessary, and is always severe and dan-gerous; it should never be performed for disease of the joint. Thepatient is to be placed on a table, with his pelvis projecting fromthe edge. The artery is compressed by an assistant, who must beready to thrust his fingers in the w
RM2AWN0DK–The practice of surgery . Fig. 16.—Intestinal localization (Monks). found small, translucent spots between the vasa recta. Monks callsthese lunettes, and finds that gradually they grow smaller, becomestreaked with fat, and disappear at about the eighth foot from the duode-num. To determine the direction of the fecal stream, observation ofperistalsis is unreliable, because retroperistalsis may be present; but. Fig. 17.—Intestinal localization (Monks). by passing the fingers down the side of the mesentery and its attach-ment, and by correcting any twist that may be present, then with afinger on
RM2AKP6W1–Modern surgery, general and operative . he in-cision is median. In some casesin which the appendix is poste-rior the cut may be in the loin.In I case I opened a purulentcollection through the rectimi.In the vast majority of casesthe incision is made in the rightihac region. In acute appendicitis, when there is not thought to be a distinct abscess,the incision usually made is 2 inches internal to the anterior superior iliacspine and perpendicular to a line drawn from the spine to the umbilicus (Fig,623). The skin incision is usually 3 inches in length, the upper third of theincision being above
RM2AM7WYC–Traité de chirurgie . déchiquetés et à fond jaunâtre. Les lotionsantiseptiques, la poudre diodoforme et la cautérisation de lulcère avec le gal-vano-cautère constituent les principaux moyens thérapeutiques. : - . PERFORATIONS UK LA COKNI-i:. ACCIDliNTX I:T DUFORMITÊS COXSÈCUTiri^S A. FISTULES PKHFOn.VTIONS — STAPllYF.OMRS Lorsque lo lond diin nlcrro se rapproche (!< la membrane de Descemel, unepcrloraliou est imminente. Mais, en raison de son élaslicilé et de la pression«luelle subit de la part de lhumeur aqueuse, la membrane de Descemet estrepoussée en avant, de telle sorte que la profonde
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