Report on clinical surgery for winter session 1874-75 / by George Buchanan.

  • George Buchanan
Date:
1875
Catalogue details

Licence: Public Domain Mark

Credit: Report on clinical surgery for winter session 1874-75 / by George Buchanan. Source: Wellcome Collection.

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    patient got rapidly well, and left January 28, with a small fistula at the site of the wound, having survived a sharp attack of erysipelas of the face, which occurred during the piogiess of the case* The second case, J. M., aged 38, ad¬ mitted November 20, with transverse wound J inch below hyoid bone, and two inches long, opening Into larynx. Under water dressing the wound healed kindly, and patient left on December 29. T he third, J. C., aged 38, admitted April 13. Cut extended from an inch and a half below the left ear, to two inches on the light side of the median line. The two extremities of the wound were drawn together by sutures, but the central part was left open. Patient dismissed well on the 30th April. An interesting case of cicatricial contraction of the mouth is still under treatment. E. G., aged 13. Admitted Maich 29. Hie history is very obscure ; but on admission the inner margins of the lips were found drawn together by a circular scar, which left a round opening just sufficient to admit the point of the finger. The scar was closely ad¬ herent to the gums. Lateral incisions wTere made, and two hooks, coated with guttapercha, and connected by an elastic band passing behind the head, were used to drag asunder the angles of the mouth. The two lithotomy cases noted in the operation list deserve notice. In the first, J. C., aged 72, admitted Dec. 10, 1874, with recurrence of stone after lithotomy, Dec. 3, 1873, a round phosphatic stone was removed by the rectangular method. Slight oozing occurred after the operation, necessitating plugging; recovery took place, patient leaving two months after with the wound closed. The second case, J. G., aged 57, admitted February 2, is rendered interesting by the history of the formation of the stone. Two-and-a-half years before admission painless hsemor- rhage from bladder occurred, and had recurred at intervals after. Around two of the clots left in the bladder a deposit of uric acid had taken place, and the successive recurrences of the haemorrhage had tended to coat the forming stones