System, of Treatment by Many Writers: General Medicine and Surgery

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Macmillan., 1917
 

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Page 520 - 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 843 - 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 259 - How desirable it is to make an early diagnosis of cancer of the stomach in order that a radical operation may be performed at the earliest possible moment. (2) That it may be needful to perform an exploratory operation in order to complete or confirm the diagnosis. (3) That such an exploration may be done with little or no risk in the early stages of the disease. (4) That even...
Page 625 - ... 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 385 - That in which the passage through the intestines is delayed, whilst defalcation 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 259 - ... perceptible, an exploratory operation is, as a rule, still advisable in order to carry out radical or palliative treatment. (5) That where the disease is too extensive for any radical operation to be done the palliative operation of gastro-enterostomy, which can be done with very small risk, may considerably prolong life and make the remainder of it much more comfortable and happy. (6) That some cases, thought at the time to be cancer too extensive for removal, may after gastroenterostomy clear...
Page 987 - After each application of the battery, and indeed at other times, facial massage should be employed. This also may be done by the patient himself; he should rub the individual muscles with the tips of his fingers, and knead and compress those of the cheek and lips between the thumb, placed in the mouth, and the fingers outside. It is useful to rub the eyelids over the eyeball, and at night to put a compress over the eye in order to keep it closed. Massage and electrical treatment should be persevered...
Page 283 - ... 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 haematemesis.
Page 646 - THE subacute form of pancreatitis is more amenable to treatment as the indications are so much more definite, and there is more time for careful consideration. Though it has usually been attacked only when an abscess has formed and is manifestly making its way to the surface, yet there is no reason why in some cases surgical treatment should not be adopted at an earlier stage. As in the acute condition, morphine may be required to relieve the pain and to lessen the collapse. Distension, if present,...
Page 616 - ... the surgeon has immediately under his eye the whole length of the ducts with the head of the pancreas and duodenum.

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