A manual of operative surgery / By Lewis A. Stimson ... and John Rogers.

  • Lewis Atterbury Stimson
Date:
1900
Catalogue details

Licence: Public Domain Mark

Credit: A manual of operative surgery / By Lewis A. Stimson ... and John Rogers. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    if not subperiosteal, is to be preferred to amputation, but the contrary is true of the phalanges of the other fingers. Lateral pressure, by means of splints or an India-rub- ber glove finger, and extension by weight must be made to insure the necessary length and proper shape of the member. RESECTION OF THE BONES OF THE PELVIS. Oilier' reports a case in which he removed the as- cending ramus of the ischium and most of the pubis for suppurative osteo-arthritis of these bones and the pubic synchondrosis. The incision was about four inches long and extended from a fistula in the genito-crural fold up toward the pubis. The periosteum was detached, the as- cending ramus of the ischium removed and then the as- cending ramus, body and part of the horizontal ramus of the pubis. The bone that wras removed was eroded and rarefied, but not necrotic. EXCISION OF THE COCCYX (OLLIER). This may be required on account of disease of the coccyx, of coccygodynia, or as a preliminary to operations upon the rectum. The limits of the bone are determined by the finger in the rectum, and a longitudinal incision made through the skin and fibrous covering of the bone, from a quarter of an inch above its upper to the same distance below its lower end, and a transverse incision made at the upper end of the first. The posterior surface of the bone is then denuded. The sacro-coccygeal articulation having been opened by this denudation, its fibro-cartilage is divided, and the cornua cleared. An elevator is then passed through the joint and used as a lever to force out the coccyx, peeling of]' ;it the same time the fibrous covering of its anterior surface. If tin' sacrum is also diseased, and the gouge is used upon it, it must be remembered that the sacral canal ex- 1 Dela R£g6n6ration des Ob, VoL II., |>. 180.