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.
569/656 page 533
![Lumbar Abscesses (continued). £33 Treatment An incision was made into the abscess Jibove the crest of the ilium, and six innts of clear fluid were evacuated. The fluid in the buttock was evacu- ated by the same incision. Wound stitched up. B,emark3 Opened like No. 17. Driiinage-tube in- serted, 14 07.. of pus with pieces of bone escaped. Opened above the crest of the ilium .about its middle; 50 oz. of thin pus escaped. Drainage-tube inserted. Opened like No. 17, 8 oz. of thick mor- tar-like pus espaped containing pieces of bone. Drainage-tube inserted. Opened. Drainage-tube inserted. Al)scess opened and 24 oz. of pus con- tiiining a piece of bone evacuated. Drainage-tube inserted. The fluid reaccumulated in the buttock, and in the beginning of August, 17 oz. of serous fluid were removed bj' the aspirator. There was again reaccumulation, and 18 oz. were with- drawn on August 22. On September 4, the old cicatrix was opened and a drainage-tube in- serted. The tube got blocked, and there were reaccumulation and high temperature. (The patient was also menstruating at the time.) As soon as free exit was provided for the fluid, the temperature fell. The case then followed a typical course and the wound healed during April 1879. She went home quite well and strong in the beginning of June. When the fluid was let out on September 4, it had a peculiar odour and contained numerous bacilli. These, however, disappeared in a few daj's, being apparently either dead already or incapable of developing in the serous discharge from the wound. (See T. Chart LXII.) Aseptic course. Wound healed on March 4, 1879. Patient was in excellent health through- out the whole treatment. (See T. Chart LXIII.) Aseptic course. Healed completely on February 25, 1880. Patient improved in general condi- tion from the day of the operation. (See T. Chart LXIV.) For some days this mortar-like stuff containing fragments of bone could be pressed out. By February 24, the discharge was serous and the case thenceforward followed a typical aseptic course. The elevation of temperature on Feb- ruarj- 9, and the following days coincided w itii the patient's first menstruation. Healed dui ing July 1880. (See T. Chart LXV.) Aseptic course. In the summer of 1880, as there was no discharge, even though the sinus had not healed, the patient was allowed to walk about. When the hospital was closed in July 1880, the sinus was still unhealed. He was sent home to be treated aseptically by his own doctor. (See T. Chart LXVI.) A.septic course. The pain in the back di-np- |)eared in a few daj's and the ])atient's health rapidly improved. Found iiealed on June 16, 1881. Patient then well and strong and ijuite free from pain or tenderness. (See T. Chart LXVII.)](https://iiif.wellcomecollection.org/image/b20409928_0571.jp2/full/800%2C/0/default.jpg)
