An enquiry into the statistics and pathology of some points connected with abscess in the liver as met with in the East Indies / by Edward John Waring.

  • Edward John Waring
Date:
1854
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Licence: Public Domain Mark

Credit: An enquiry into the statistics and pathology of some points connected with abscess in the liver as met with in the East Indies / by Edward John Waring. Source: Wellcome Collection.

Provider: This material has been provided by Royal College of Physicians, London. The original may be consulted at Royal College of Physicians, London.

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    173 serous—he became delirious, and died Jail, lltli, 8 daysaftei tho operation. No. 242 in Fatal Cases. Autopsy. Liver enlarged—the aperture made by the trocar led to an immense abscess, that occupied neaily the whole of the left side of the liver; it contained a large quantity of matter, mixed up with sloughy shreds—the substance around it was soft, and gave way to slight pressure. Rather less than 5 of an inch had been penetrated by the trocar in opening the abscess—several small abscesses in the right lobe. The other abdominal, and the thoracic viscera healthy, (Dr. F. Anderson, in Webb's Pathologia Jndica, p. 120.) REMARKS ON -THE PRECEDING OPERATIONS. The proportion of Recoveries and Deaths, in these 81 cases, in which the contents of the abscess were evacuated by operation, is as follows:— Recoveries 15(a) or 18.519 percent. Deaths 66 or 81.481 percent. T\ 100.000 This proportion of recoveries, small as it is, I fear, is over- rated, as it is a practice with some medical men, to give promi- nence to successful cases, and to bury in oblivion those which prove unsuccessful. It is a practice alike unpliilosophical and culpable—but easily comprehensible—no one likes to be the herald of his own failures. Duration of Life after the Operation, in 47 instances :— Died the same day 1 ,, from the 2d to the 5th day .. .10 The total number of 99 99 6th 99 10 th day .. . 9 days of life after ope- 9 9 9 9 11th 99 15th day .. . 6 ration in these 47 ca- 39 9 9 16th 99 20th day .. . 2 ses, is 842; giving an 99 99 21st 99 80th day .. . 4 average of about 18 99 99 .31st 99 40th day .. . 1 days to each case. 99 99 41st 99 50th day .. . 3 ’> >> 51st day and upwards. . 4 47 (a) llecnveries. lxii, lxviii, Ixxi, ] Cases i, Ixxvii. iv, vii, xx, xxiii, xxiv, xxxii, xxxvii, xxxix, xlvii, lxif Died the same day 1