Volume 2

Practical observations in surgery and morbid anatomy. Illustrated by cases, with dissections and engravings / by John Howship.

  • Howship, John, 1781-1841.
Date:
1816
Catalogue details

Licence: Public Domain Mark

Credit: Practical observations in surgery and morbid anatomy. Illustrated by cases, with dissections and engravings / by John Howship. Source: Wellcome Collection.

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    past he had been totally unable to read the largest and clearest print. On examination, or pressure, no pain, or even sense of feeling was excited in the tumor upon the scalp. Having very frequently seen and removed such tumors, without their being productive of any particular symptom, I merely advised its being dis- sected off, alleging that it would continue to grow larger, however slowly, and would consequently more readily admit of removal at the present, than at any future period. The part was removed by carrying two elliptical incisions through the tegu- ments beyond the basis of the tumor, the portion of included scalp, with the tumor itself, being sub- sequently dissected away from the pericranium, with which it was i contact. I think this mode preferable to the dissecting off the whole of the integuments from the cyst. It is quite unnecessary to save so much skin, unless the’ space covered by the base of the tumor is large; and by removing the whole, where it can be done with propriety, the object of the operation is more neatly, and more quickly accomplished. Performed in this way, there is also a greater cer- tainty of removing the cyst entire, than when the integuments have to be separated all round, parti- cularly where the coats of the cyst are thin, and yielding. . The tumor removed, two very small vessels were tied, and the integuments brought nearly together, with adhesive plaster. In three weeks the liga- tures were off, and the wound perfectly healed.