Essentials of surgery : together with a full description of the handkerchief and roller bandage. Arranged in the form of questions and answers prepared especially for students of medicine / by Edward Martin.

  • Edward Martin
Date:
1890
Catalogue details

Licence: Public Domain Mark

Credit: Essentials of surgery : together with a full description of the handkerchief and roller bandage. Arranged in the form of questions and answers prepared especially for students of medicine / by Edward Martin. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    This leaves either a fecal fistula (a small aperture discharging faeces), or an artificial anus (a double-barrelled opening). If only a limited portion of the bowel is gangrenous, excise, and unite the healthy tissue with Czerny''s suture^ the first row including only the edge of the serous membrane, the second (Lembert's) starting one-half inch from the edge of the wound, and including a quarter of an inch of all the coats of the bowels except the mucous membrane. How do you treat a faecal fistula or an artificial anus ? The fcecal fistula frequently closes spontaneously ; if not, a plastic operation may be performed, or it may be treated as an artificial anus. In artificial amis the spur or partition formed by the anterior projection of the posterior wall of the bowel may be ulcerated through by means of Dupuytren's euterotome, after which the external opening may be closed by a plastic operation; or the intestine may be detached from the abdominal wall, drawn out, freshened, and united by Czerny's suture. Prepare by twenty- four hours' light diet, and thorough washing out of the bowels. How should the omentum be managed? If acutely strangulated, clamp, excise, secure the bleeding points, and return the stump to the abdominal cavity. If ad- herent, excise. Omentum must not be left in the sac. How do you treat adhesions ? Break down recent adhesions. Apply two ligatures, and cut between old vascular adhesions. How do you treat the sac ? Dissect it out, suture across the neck, and excise below the suture line. What is the after treatment ? No food for thirty-six hours. Morphia hypodermically for pain. Stimulants, if necessary, by the rectum. Open bowels by an enema the seventh day. Remove the drainage-tube in forty- eight hours, the sutures on the fourth day. Keep up firm pres- sure by means of ]>andages. In one month apply a truss and get the patient out of bed.