On some diseases of women admitting of surgical treatment

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Blanchard and Lea, 1856 - 272 páginas

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Página 192 - At first small gray specks or elevated gray spots (glanders-nodules), varying in size from that of a pin's head to that of a pea, make their appearance (Fig.
Página 210 - While the practice seems thus so far perfectly safe in itself, it has by no means proved always as successful as in hydrocele, in preventing a reaccumulation of the dropsical fluid ; for in several instances the effusion into the sac seems to have gone on as rapidly as after a simple tapping without iodine injection. 3. But, in two or three of the cases, the iodine injection appears to have quite arrested, for the time being, the progress of the disease, and to have produced obliteration of the tapped...
Página 100 - The knees must be separated some 6 or 8 inches, the thighs at about right angles with the table, and the clothing all thoroughly loosened, so that there shall be no compression of the abdominal parietes. An assistant on each side lays a hand in the fold between the glutei muscles and the thigh, the ends of the fingers extending quite to the labia majora; then, by simultaneously pulling the nates upwards and outwards, the os externum opens, the pelvic and abdominal viscera all gravitate towards the...
Página 210 - ... of the cyst that was tapped. From these cases he drew the following conclusions : — . 1. In none of the cases of ovarian dropsy treated with iodine injections after tapping has he yet seen any considerable amount of local pain follow the injection, with one exception ; in most instances no pain at all is felt ; and in none has constitutional irritation or fever ensued. In the one exceptional case, considerable local irritation followed ; and the pulse rose to 110; but the same phenomena occurred...
Página 205 - ... from inattention and carelessness. " First of all, compresses of linen or lint should be so arranged as to present a convex surface, adapted as nicely as possible to the concavity of the pelvis. Over these compresses straps of adhesive plaster should be applied, so as to embrace the spine, meeting and crossing in front, and be extended from, the vertebral articulation of the eighth rib to the sacrum. Over this strapping, either a broad flannel roller, or still better, a band with strings and...
Página 211 - Perhaps the want of success in some cases has arisen from an insufficient quantity of iodine being used, and from the whole interior of the cyst not being touched by it. The greatest advantage would of course be expected from it in the rare form of unilocular ovarian cysts.
Página 100 - Besides, the fistula is sometimes in such a situation, as when it is near the fundus of the bladder, that without this agent, or some similar one, it would be impossible to bring it in view. The patient being thoroughly etherized, the bladder can be brought down by introducing a large sized bougie (one made of whalebone, highly polished, is to be preferred) into the urethra, to the very fundus of the bladder, and carrying the other end up to the pubis. In this way the fistula is readily brought in...
Página 233 - My personal experience in the operation last referred to has been comparatively limited, yet, though prejudiced against it in my early education, I now feel bound to state, that the removal of such formidable disease by one or other of the various proceedings, as first executed in this country by Mr.
Página 159 - In an ovary, it is not unfrequent to find many small cysts, formed apparently by the coincident enlargement of separate Graafian vesicles. These lie close and mutually compressed, and, as they all enlarge together, and sometimes, by the wasting of their partition-walls, come into communication, they may at length look like a single manychambered cyst, having its one proper wall formed by the extended fibrous covering of the ovary.
Página 79 - ... the mucous membrane is destroyed. He then pares the edges with scissors or a bistoury, draws them together, and maintains them in apposition by means of straight needles, the points of which are removed, and a twisted suture.

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