Cases of deformity of various kinds, successfully treated by plastic operations / by Thomas D. Mütter.

  • Thomas Dent Mutter
Date:
1844
Catalogue details

Licence: Public Domain Mark

Credit: Cases of deformity of various kinds, successfully treated by plastic operations / by Thomas D. Mütter. Source: Wellcome Collection.

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    and the patient placed in bed. The hemorrhage was com¬ paratively trifling, but few arteries requiring the ligature ; and the operation, though painful and tedious, was borne by the patient without a murmur. 24th. Patient passed a good night; has no fever, but slight headache, and warm surface. The wound is cool, and but slightly tumified ; bowels not opened. Ordered an enema of salt and water, &c., and no food or drink to be taken. Of course no attempt at speaking has been allowed. 25th. Patient more comfortable; skin moist; no fever: thirst; enema had operated well; allowed to swallow a mouthful or two of water. 26th. Removed the top dressings, and found the flaps cool and united perfectly, with the exception of an opening, about the size of a small shot, in the centre of the cheek. General condition of the patient same as on the 25th. Ordered gruel and cool water every hour or two, and also an enema, as the bowels were not opened the day before. 2Sth. Removed needles ; parts adhered, except just at the centre of the wound. 30th. Touched the edges of the orifice with argent, nit., and applied a cerate cloth. Fig. 4. Simple dressings, with the application of the caustic, were continued for several days, but the little wound refused to contract or granulate ; and I therefore freshen¬ ed the edges with the scalpel, and drew them together with a twisted suture. Union, by this plan, was speedily ac¬ complished, and my patient relieved of a most shocking defor¬ mity. (Fig. 4.)
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