Antiseptic surgery : its principles, practice, history and results / by W. Watson Cheyne.
- Watson Cheyne
- Date:
- 1882
Licence: Public Domain Mark
Credit: Antiseptic surgery : its principles, practice, history and results / by W. Watson Cheyne. Source: Wellcome Collection.
567/656 page 531
![Lumbar Abscesses {continued). Treatment Bemarks Opened in the thigh. A sound was then passed under Foupart's ligajnent, the point projected against the skin and cut out. 'J'he lower wound was then stitched. Drainage-tube inserted into the ujjper. Aseptic course, soundly healed June 1877. The wound in the thigh healed in a few days, but pus reaccumulated there, and it was necessarj- to open the sear. (The object of the procedure was to obtain an opening above Poupart's ligament as far away from the pubis as possible with- out the difficulty of a special dissection. It was hoped that the wound in the thigh would heal by first intention, and that the part of the abscess in the thigh would drain into the abdo- men.) (See T. Chart LIX.) Opened like No. 27. Very thick pus containing pieces of bone was evacu- ated. For some time the case went on very well, but it was a matter of extreme difficulty to keep on the dressings owing to his deformity. An ab- scess formed on the opposite side and was opened in May 1877. Putrefaction occm-red during the summer. Of this patient Dr. Bishop writes: ' His father removed him in August 1878 to the West of Scotland. He was then considerabl}' improved, having youth on his side to resist the septic influences ; and when he was last heard of he was running about.' Opened. Drainage-tube inserted. Aseptic course. The second abscess was opened FebruaiT 26, 1877. Dr. Bishop savs, ' Michael C. healed in March 1878. Left in May. In July 1878 he was able to go to Peterhead to the herring fishing. He returned to the fishing in 1879.' (See T. Chart LX.) Abscess opened above Poupart's liga- ment. Drainage-tube inserted. Aseptic course. Dr. Bishop says: ' John B., licaled in December 1877 ; left in Februiirv quite strong and well. When last heard of, he was employed as a colporteur.' (See T. Cliart LXI.) Opened, 35 oz. of pus evacuated. Drain- age-tube inserted. i i ■ The patient api)arentiy suffered from carbolic ])oisoning, and therefore the dressings were left on for a long time and were made rei-y small, and creosote and ultimately thymol were substituted for carbolic acid. As the result of these clinnges, putrefaction occurred. The discharge became foul and exceedingly profuse and the patient became rapidly weaker. As he ex])ressed a desire to go home, he was allowed to do so. He died about a month after lie got home.](https://iiif.wellcomecollection.org/image/b20409928_0569.jp2/full/800%2C/0/default.jpg)
