On gall-stones and their treatment / by A.W. Mayo Robson.

  • Robson, Arthur William Mayo, Sir, 1853-1933.
Date:
1892
Catalogue details

Licence: Public Domain Mark

Credit: On gall-stones and their treatment / by A.W. Mayo Robson. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    During an attack, liot fomentations and tlie drinking of hot water give relief, but of all measures, the subcutaneous injection of mor- phine is by far the most satisfactory. Massage finds a strong advocate in Dr. George Harley, F.R.S., who, in a communication to the Medical Annual for 1890, says, speaking of massage: For without doubt, perseverance and opportunity will, in the end, enable them [the operators] to discover gall-bladders equally as readily as the trained fingers of the expert do, and that, too, even through abdominal parietes so thick that untrained hands cannot so much as make out the boundary of the solid liver through them; while, again, they will ultimately find that they will be able to extrude small impacted biliary concretions, be they in the shape of sand, gravel, or stones, from the bile duct into the duodenum with as much safety and certainty as they can pass a catheter through a stricture into a human urinary bladder. At the same time, for the sake of the patient's welfare as well as their own reputation, they must never forget to be as careful in the mode of operative procedure in the one case as in the other, as neither operation is invariably imattended with danger. This is csjiccial]_y the