The Liverpool and Manchester Medical and Surgical Reports, Volume 2

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1874
 

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Page 155 - ... either outwards or inwards. Then, again, you should be careful that the foot touches the foot-piece by the three balls of the sole — the ball of the heel, the ball of the great toe, and the ball of the little toe. If the foot is set against the foot-piece so that these three chief points, upon which in standing or walking it rests, are in exact contact with the foot-piece, or nearly and evenly approximated to it, when the patient rises with the fracture healed they must hold the same position,...
Page 70 - ... the lower margin of the tumour. The flaps thus formed being reflected without much haemorrhage, I separated the scapular attachment of the deltoid, and divided the connexions of the acromial extremity of the clavicle. Then, wishing to command the subscapular artery, I divided it, with the effect of giving issue to a fearful gush of blood, but fortunately caught the vessel and tied it without any delay.
Page 70 - When the whole tumour is thus exposed, the muscles inserted into the vertebral border of the bone should be rapidly divided, as also those which are attached to the spine of the scapula. The tumour, being now movable, should be lifted well up, and freed from its other attachments by rapid strokes of the knife, commencing from its LOWER angle. The sub-scapular artery is divided near the end of the operation...
Page 99 - FIVE YEARS' SURGICAL WORK IN THE MANCHESTER ROYAL INFIRMARY. BY EDWARD LUND, FRCS, ONE OP THE SURGEONS TO THE HOSPITAL, AND MEMBER OF THE SENATB OF THE OWEN'S COLLE&E, MANCHESTEK. IN publishing the following details of five years...
Page 34 - ... discussion on the anatomical relations of pulmonary phthisis to tubercle of the lung.
Page 3 - ... tide. He was hoisted up by ropes, and brought to the hospital. On admission, Nov. 18th, 1868, he was unable to stand, and complained of intense pain from the toes of both feet up to the hips, and also of a feeling of stiffness in the back. On examining the back there was considerable ecchymosis of the lower portion of the dorsal region, and the eleventh dorsal vertebra was displaced, and protruded fully an inch and a half from its normal position.
Page 161 - ... which he had to undergo in coming here. The case of popliteal aneurism cured by pressure, was in a man who then had a double aneurism, a large one on the right side, and a small one commencing on the left. In this case, after other means had failed, I used the three-pad tourniquet which I exhibited at the recent meeting of the British Medical Association in London, and since these reports were drawn up, this same patient has been under my care in the hospital, for the aneurism of the opposite...
Page 117 - ... flap of his coat, so that the trigger even was within the pocket. He walked along with it in this careless manner, and when attempting to pull it out of the pocket the trigger caught in the lining, the gun went off, and the contents were lodged in his leg and foot, from the effects of which he...
Page 111 - These were, doubtless, separate spots of extravasated blood, produced by the bursting of small capillary vessels. This condition of things was associated with a good deal of distress in breathing and some confusion of intellect...
Page 70 - The acromion process, if not diseased, may be divided with bone-nippers, and left behind to preserve the shape of the parts and protect the head of the humerus. " In this way I have seen the scapula removed with a very large and vascular tumour without any serious bleeding.

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