Contributions to Surgery and Medicine, Volumes 3-4Lewis, 1887 |
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Contributions to Surgery and Medicine: Intestinal Disease and Obstruction ... Hugh Owen Thomas No preview available - 2018 |
Contributions to Surgery and Medicine: Intestinal Disease and Obstruction ... Hugh Owen Thomas No preview available - 2016 |
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abdomen acromion acute advice advised ailment angle aperients appeared applied assist Banks belladonna bowels Brinton Bryant castor oil cause chronic clavicle constipation consulted correct cure defect deformity diagnosis elbow elbow-joint enema enemata enterotomy evidence excision existed experience fæcal flexion fore-arm fracture gastro-enterotomy give given glenoid cavity hand hernia humerus inflammation informed injection injury instance interference intestinal disease intestinal obstruction intussusception joint Lancet laparotomy lecturer lesion limb Liverpool Liverpool Medical Institution manipulations mechanical medicine ment method of treating months motion noticed observed olecranon operation opinion opium pain patient performed peristalsis peritonitis physiological method PLATE practice practitioner principles pulse purgatives reader recognised treatment recovery rectum reduction relieved remedy rest scapula sedative shoulder shoulder-joint signs splint starvation strangulation suffering surgeon surgery surgical Sydenham Sydenham method symptoms teaching tion treating intestinal treatment of intestinal Treves Treves's tumour upper extremity vomiting weeks wrist
Popular passages
Page 95 - ... the special object of his search — the seat of obstruction. 3. In a laparotomy, when the strangulated coil of bowel is- gangrenous, it should be brought out of the wound, and the gangrenous knuckle resected. The proximal and distal ends of the resected bowel should then be stitched to the edges of the wound, and an artificial anus established.
Page 28 - ... a procedure which, if interrupted by unforeseen impediments, may further require the institution of an artificial anus in the most distended part. In obstruction by stricture, however, a tobacco enema should be administered at least once ; a measure which should be repeated, if need be, in obstruction by bands, and especially by gall-stones. In all cases, opium anil support to be freely administered from the earliest stage of the malady.
Page 95 - Adhesions or bands, are, moreover, more frequently near to, or associated with, the caecum, than with any other part of the intestinal tract. It is also in the right iliac fossa that the collapsed small intestine, in cases of acute strangulation, is usually to be found ; and, with this as a starting point, the surgeon will have less difficulty in tracing up the intestine to the seat of strangulation than if he begins at a distended coil, when it will be a matter of chance whether he travels away...
Page 67 - Where is the particular importance in just telling us that once, twice, or even oftener, this disease has yielded to that remedy? We are overwhelmed as it is, with an infinite abundance of vaunted medicaments, and here they add a new one.
Page 28 - In obstruction by stricture, however, a tobacco enema should be administered at least once; a measure which should be repeated, if need be, in obstruction by bands, and especially by gall-stones. In all cases, opium and support to be freely administered from the earliest stage of the malady. The bulkier liquid constituent of the food to be given as sparingly as possible by the mouth, but administered freely per anum. Distensive enemata to precede all operations, if only as a means of aiding or assuring...
Page 95 - In all operations of laparotomy, it is to the csecum that the surgeon should first advance, since it is from it he will obtain his best guide. If this be distended, he will at once know that the cause of obstruction is below ; if it be found collapsed, or not tense, the obstruction must be above. Adhesions or bands, are, moreover, more frequently near to, or associated with, the caecum, than with any other part of the intestinal tract. It is also in the right iliac fossa that the collapsed small...
Page 95 - ... 3. In a laparotomy, when the strangulated coil of bowel is gangrenous, it should be brought out of the wound, and the gangrenous knuckle resected. The proximal and distal ends of the resected bowel should then be stitched to the edges of the wound, and an artificial anus established. 4. Nelaton's operation of enterotomy should be undertaken in all cases of intestinal strangulation, when laparotomy is rejected or seems inapplicable, as well as in cases of intussusception in which the invaginated...
Page 28 - In intus-susception of the large intestine, repeated injections of liquid into the rectum, so as to distend the bowel to its utmost dimensions. In stricture of the large intestine, the institution of an artificial anus above the obstacle. In obstruction from bands, diverticula, &c., mostly affecting the small intestine, gastrotomy, and division of the cord-like cause of strangulation; a procedure which, if interrupted by unforeseen impediments, may further require the institution of an artificial...
Page 118 - He who takes nature for his guide, is not easily beaten out of his argument, and on that ground, I answer generally - That independence being a single simple line, contained within ourselves: and reconciliation, a matter exceedingly perplexed and complicated, and in which a treacherous capricious court is to interfere, gives the answer without a doubt.