A treatise on the operations of surgery : with a description and representation of the instruments used in performing them : to which is prefixed an introduction on the nature and treatment of wounds, abscesses and ulcers / by Samuel Sharpe, fellow of the Royal Society, and member of the Academy of Surgery at Paris.

Samuel Sharp

Date:: 1788

Credit: A treatise on the operations of surgery : with a description and representation of the instruments used in performing them : to which is prefixed an introduction on the nature and treatment of wounds, abscesses and ulcers / by Samuel Sharpe, fellow of the Royal Society, and member of the Academy of Surgery at Paris. 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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$39 Treatise on the be Wduced, but the omentum will with feme inftrument, to make roonj«| ftkll remain in the fcrotum ; and when fqr'its return; which dilatation is thol thus circumftancedj moft furgeons ad- operation for the bubonocele, vife a bag-trufs only, upon a fuppofi- It rarely happens that patients fub-1 tion that the pre flu re of a fteel one, mit to this incifion before the gut is,{ by flopping the circulation of the mortified, and it is too late to do fer- J blood in the veflels of the omentum, vice; not but that there are inftanceii would bring on a mortification; but of people furviving fmall gangrenes M I have learned, from a multitude of and even perfectly recovering after-'] thofe cafes, that if the inftrument be wards. I myfelfhave been an eye-J njcely fitted to the part, it will be a w.itnefs of the cure of two patients,] comprefs fufficient to fuftain the who, fome time after the operationj bowel, and, at the fame time, not when the efchar feparated, diichargeda hard enough to injure the omentum ; their feces thro' the wound, and con-J fo that, when a great quantity of in- tinued to do fo for a few weeks, ioj teftine falls down, though it be com- fmall quantities, when at length thqjj plicated with the defcent of the omen- interline adhered to the exiematf turn, the rupture will conveniently wound, and then was fairly healed, 1 and fafely admit of this remedy. In mortifications of the bowel™ • There are fome furgeons, who, to when fallen out of the abdomen intql ptevent the trouble of wearing a trufs, ' the navel,, it is not very uncommon! when the interline is reduced, deftroy for the whole gangrened interline toj ^hefkin over the rings of theabdomi- fcparate from the found one, fo thajjj nal mufdes with a cauilic, ofthefize the excrement muit neceflarily eveM pf a half-crown piece, and keep their after be difcharged at that orifice a patients in bed till the cure of the there are likewife a few inftancesj wound is finifhed ; propoling by the where the rupture of the fcrotum haM Ariclure of the cicatrix to fupport it mortified, and become the anus, the in the abdomen for the future; but, patient doing well in every othea by what I have fecn, the event, tho' refpect; nay, I have had one inftancti often fuccefsful, is not anfwerable to of this nature under my care, ifl the pain and confinement; for if, af- which the excrements were voideM ter this operation, the inteilinelhould totally by thefcrotum for three weekd again fall down, which fometimcs. or a month, yet by degrees, as th« happens, there might poflibly be more wound healed, they palled oft'chiefljl danger of a ftrangulation than before in their natural courfe, and at lail al« the fear was made. This practice moft wholly fo. Thefe cafes, howd feems to be more advifeable on wo- ever, are only mentioned to furniM men than men; becaufe in men, the furgeons with the knowledge ol the! p\anger of injuring the fpermatic cord, polfibility pf fuch events, and not to. fpmetimes intimidates us from ufing a miilead them fo far as to make faj cauftic of fufficient llrength to do the vourable inferences with regard to. proper office. '' '' ' ' gangrenes of the bowels,, which gene| '. 1 have hitherto confidered the rally are mortal, iupture as eafily moveable; but it hap- '. Before the performance of the opg pens frequently, that the inteftine, ration for the bubonocele, which M after it has paffed the rings of the only to be done in the extremity of mufcles, is prefently inflamed, which danger, the milder methods are to baj enlarging the tumour, prevents the trkd; thefe are, fuch as will conduct Tcturn ofit into the abdomen, and to foothe die inflammation; for W becoming every moment more and to the other intent of foftening tMj more flrangled, it foon tends to a excrements, I believe it is much to MF mortification, unlefs we dilate the quellioncd, whether there can be 31$ paflages through which it has fallen, of that degree pf hardnefs as to forflf$

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