Beitrage zur ChirurgieF. Enke, 1892 - 667 pages |
Common terms and phrases
abdomen abdominal adhesions Arch äusseren beiden besonders Billroth Bruchband Bruchsackes button cancer Carcinom cases cause cent Chir chirurgischen Chloroform Chloroformierung chronic Colon condition Cyste Darm death diagnosis dilatation Drüsen duodenum early entlassen Erkrankung ersten esophagus Exstirpation Fälle Fistel Gallenblase gastric gastro-enterostomy geheilt Geschwulst Gewebe gives grossen Haut Heilung Hernie inches incision Jahre jejunum kleinen klin Klinik klinische konnte Kranken lange Laparotomie leicht lesser curvature letzten lich linken Lungen Lymphdrüsen Methode Mikulicz Monate mortality Musc Naht Narkose normal obliquus obstruction omentum opening Operation operative operierten patient Patientin perforation Peritoneum Peritonitis portion posterior present pyloric pylorus Rand rechten Recidive Reizung Resektion Samenstrang Schilddrüse Schmerzen Schnitt Sehnerven stark stomach stricture Strikturen surgical suture symptoms Tage Teil tion Tube Tuberkulose Tumor Ueber ulcer unserer usually Uterus Verlauf verwachsen vorderen wall wieder Wien Wochen Wochenschr Wölfler Wunde zwei
Popular passages
Page 250 - The surgeon may not unreasonably expect that, from being a last resource, gastro-enterostomy may be considered as a method of treatment worthy of consideration in a much earlier stage of chronic ulcer of the stomach." Excision of gastric and duodenal ulcers would seem to be a wise procedure, but is open to certain strong objections. In 20 per cent. of cases more than one ulcer is present, and one or more may be undetected or lie in an inaccessible situation. It leaves the ulcer tendency unrelieved,...
Page 271 - I entirely agree with Dr. Howard's statement that we cannot base accurate or conservative conclusions on data obtained from clinical observation.
Page 270 - ... intestine is sutured to the stomach from left to right by a Gushing suture at least two and one-half inches. (/) The stomach and intestine are incised one-sixth inch in front of the suture line, and the redundant mucous membrane excised flush with the retracted peritoneal and muscular coats. With a No. 1 chromic catgut on a straight needle the posterior cut margins of the entire thickness of the gastric and jejunal wall are united by a buttonhole suture from right to left; at the extreme left...
Page 226 - Step 3: With the fingers as a guide underneath the pylorus, in the lesser cavity of the peritoneum, ligate the right gastroepiploic or gastroduodenal artery, and progressively tie and cut away the gastrocolic omentum distal to the glands and vessels up to the appropriate point on the greater curvature, and here ligate the left gastroepiploic vessels.
Page 357 - Anatomy, at the Fifty-first Annual Meeting of the American Medical Association, held at Atlantic City, NJ, June 5-8, 1900. Reprinted from "Jour. Amer. Med. Assoc.,
Page 210 - The prognosis of ulcer of the stomach has given rise to much discussion. Tricomi believes that 20 to 25 per cent. will die under medical treatment. Brinton estimates that about 50 per cent. are cured by medical means. Debove and Remond state that 25 per cent. die directly from the lesion itself (perforation and hemorrhage), and 25 per cent. additional from different complications, such as pulmonary tuberculosis due to the chronic anemia. Leube, who has given the subject of gastric ulcer careful study,...
Page 270 - On being placed in bed, a glass female douche point is passed just above the internal sphincter ani, attached to a gravity bag filled with one-half strength normal salt solution. The elevation should not be greater than six inches. The small stream passing into the rectum is readily absorbed without irritation. One or two quarts is taken up in an hour.
Page 404 - Rolleston in thirty-six cases of cancer of the common duct found gall-stones in less than half. The extensive experience of Mayo Robson, however, entitles his opinion to great weight, and he states his belief that gall-stones are the most common cause of malignant neoplasms in the biliary passages, although the calculi have not remained in situ. The...
Page 302 - In several of these cases the proceclure amounted to gastric resections with end-to-end suture. CHRONIC ULCER Chronic ulcer of the stomach and duodenum is more common in men, and is essentially a disease of adult life. It entails upon the victim years of invalidism, and in fully 25 per cent. is the direct cause of death, while indirectly, through anemia, it causes general infections, tuberculous or otherwise, and thus doubles the mortality. Surgical interference should be considered when the failure...
Page 241 - The patient does not come to us for the purpose of having a certain operation performed, but seeks relief from suffering and disability. Let me call your attention for a few minutes to the anatomic diagram, showing the nearly vertical position of the stomach with the pylorus in the middle line of the body, and but little elevated above the lowest point of the gastric cavity. It is turned upward and to the right just enough to prevent the weight of the gastric contents bearing directly on the sphincter...