Cholecystotomy : with a report of two new cases, a table of all the hitherto reported cases, and remarks / by J.H. Musser and W.W. Keen.

  • John Herr Musser
Date:
[1884]
Catalogue details

Licence: Public Domain Mark

Credit: Cholecystotomy : with a report of two new cases, a table of all the hitherto reported cases, and remarks / by J.H. Musser and W.W. Keen. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    49/62 page 47
    relied on implicitly is shown by Campbell {Brooldyn Annals, i. 87). stone was found by the probe, yet the post-mortem showed that one existed in the common duct. Stones in the gall-bladder, however, could ordinarily be so discovered. 2. Acupuncture was first proposed by Whittaker of Cincinnati, and practised by him and Ransohoff {N. Y. 3£ed. Becord, 1882, i. 568), and more recently by Harley {Med. Times (London), May 17, 1884). Harley terras it an easy and safe method of sound- ing for impacted gall-stones, and fails even to make mention of Whittaker and Ransohotf's much earlier proposal. That it is fairly easy both cases show, but that it is not safe, except when very carefully and guardedly done, Harley's own case shows. After a short convalescence, due, it was believed, to dis- lodgment of the stone, and its escape into the duodenum (an assertion not proved, however, by finding the stone either during life or at the post- mortem), a fatal enteritis and peritonitis supervened. In both cases the Dieulafoy needle (or long French exploring trocar) was used. Whittaker and Ranso- hoff state that the gall-bladder was fixed by pressure from below, and the aspirator needle was introduced just below the gall-bladder. At 4| they detected the stone on two occasions, though it had to be searched for more than once the second time. Harley introduced it first fruitlessly midway between the umbilicus and the liver margin 1| to the right of the median line. On-re-inserting it 1 higher up and 2 from the median line the stone was struck at a depth of 6. On withdrawing the stylet its size and shape were estimated with the end of thecanulato be those
    No text description is available for this image
    No text description is available for this image
    No text description is available for this image