System of Treatment by Many Writers, Volume 2

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1915
 

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Page 578 - They do not readily become adherent to important organs, though an exception to this statement must be made in the case of growths of the transverse colon, which frequently involve the stomach.
Page 939 - The first suture was placed by inserting the needle into the triangular ligament above the urethra and out through the anterior wall of the membranous urethra, then through the anterior wall of the bladder in the median line, from within out, care being taken to include only the submucosa and muscle. When this suture was tied, the median line of the anterior wall of the bladder was drawn to meet the median line of the roof of the remaining membranous urethra, the knot outside, and the thread left...
Page 382 - ... treatment. Gastric ulcer is a much more serious disease than it is ordinarily thought to be, and the profession has generally considered it more amenable to medical treatment than the facts warrant. The accuracy of the observations of Leube, who states that onehalf or three-fourths of all cases of ulcer will be cured by four or five weeks of treatment, but if not cured in that time they will not be cured by medical treatment alone, has been more than borne out by the careful investigations undertaken...
Page 699 - ... ounces of bile flowing from the fistula daily, produces so much discomfort, that in all the cases which have come under my notice the patients have preferred to accept the risks of operation rather than to retain their disability.
Page 439 - That in which the passage through the intestines is delayed, whilst deftecation is normal — intestinal constipation ; and (2) that in which there is no delay in the arrival of faeces in the pelvic colon, but their final excretion is not adequately performed — pelvi-rectal constipation or dyschezia. THE HYGIENE OF THE BOWELS. Neglect of the hygiene of the bowels is not only often the sole cause of dyschezia, but it is also an important factor in the majority of cases of constipation of every variety....
Page 183 - ... into the stomach. At first 4 to 5 oz. of peptonised milk with £ oz. of brandy may be given every four hours. It is not necessary to disturb the dressing. Later, the amount of milk may be increased by degrees to 12 oz. or more, if no discomfort is caused. Eggs may be added, and thin gruel or Benger's food may be given ; the peptonisation of the milk may be gradually diminished. As soon as the patient is able to swallow he should be encouraged to do so, provided coughing is not thereby set up....
Page 331 - From the fact that medical and general treatment is successful in arresting acute haematemesis in from 98 to 97 per cent, of all cases, and that it is difficult in the present state of our knowledge to say at first that the bleeding is not occurring from capillaries or small arterioles, it necessarily follows that medical treatment should always have a fair trial in every case of acute haBmatemesis.
Page 629 - Nelaton's guide, to detect any displacement of the femur at the hip joint, consists of a line drawn from the anterior superior spine of the ilium to the most prominent part of the tuberosity of the ischium.
Page 695 - Expedition in operating is an important factor in lessening shock, especially in abdominal surgery, for it stands to reason that prolonged manipulation and exposure of the viscera in patients so ill as the class of cases we are now considering must generally be will be badly borne, for it is not only the work of the surgeon but the deep...
Page 937 - Complete excision was carried out as follows : The handle of the tractor was depressed, thus exposing the membranous urethra anterior to it, where it was easily divided transversely with a scalpel, leaving a small stump of the membranous urethra protruding from the posterior surface of the triangular ligament. By further depressing the handle of the tractor the pubo-prostatic ligament was exposed, and, being very tautly drawn, easily divided by scissors, thus completely severing the prostate from...

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