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.

    138/314 (page 122)
    12 2 On Gall-Stones. [Chap. v. in mind that jaundice adds to the risk of the operation. (/) In acute or in perforative peritonitis starting in the region of the gall-bladder, where the previous history of the patient is suggestive of the presence of gall-stones, which in one of the ways previously mentioned may be the cause of the trouble. The o]Jferations which may be performed on the gall-bladder and ducts are cholecystotom}^ cholecystectomy, cholelithotrity, and cholecysten- terostomy ; but before describing these in detail it may be better to mention two minor operative procedures which are sometimes adopted. (1) Sounding.—Puncture with a long fine needle has been employed to sound the gall- bladder for calculi, and a long fine probe intro- duced through a cannula has been similarly applied. That this is not unattended by danger is proved from the fact of death having occurred after puncture in a case of Dr. Harley's, which is reported in the Medical Times and Gazette, May 17, 1884. If exploration be necessary, it is best done by a small incision over the gall- bladder, large enough to admit the finger. (2) Aspiration through a fine needle may be