Surgical observations : being a quarterly report of cases in surgery, treated in the Middlesex Hospital, in the cancer establishment, and in private practice : embracing an account of the anatomical and pathological researches in the School of Windmill Street / by Charles Bell.

  • Charles Bell
Date:
1816
Catalogue details

Licence: Public Domain Mark

Credit: Surgical observations : being a quarterly report of cases in surgery, treated in the Middlesex Hospital, in the cancer establishment, and in private practice : embracing an account of the anatomical and pathological researches in the School of Windmill Street / by Charles Bell. Source: Wellcome Collection.

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

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    the gut was found but very little distended ; not at all discoloured, and adhering by means of coagulable lymph to the neck and great part of the inside of the sac. £*5] I think I never saw the stricture on the neck of the sac so narrow. It required time and the ut- most nicety to insinuate the directory. It could only be introduced on the side of the stricture towards the pubes. The probe-pointed bistoury being introduced upon the groove of the directory, and the stricture cut, it was not difficult to reduce the small portion of the intestine ; for the coagulable lymph was as yet soft which formed the adhesion. The moment this was done, the serum rushed from the abdomen, and the stream of fluid catch- ing tbe edge of the sac, made a beautiful exhibition of it; for it appeared like a hydatid, it was so thin and delicate. On the third day, there arose pain and swelling in the abdomen ; it was partial, so that the part she complained of, could be covered with the hand. This yielded to leeches and a large blister; and she is now doing well. Remarks on the last Case. * 1. It is very dangerous practice, to give drastic purges, when the intestine is strangulated ; it overworks the intestines, which have no means of unloading themselves. May we attribute to this, the quantity of serum which was collected in the bel- ly, and which ran out after the reduction of the gut.