The Practice of surgery

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Adam and Charles Black, 1856 - 673 Seiten
 

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Seite 355 - Poupart's ligament would be divided — an unnecessary act, that texture being unconnected with the constriction ; and, besides, the spermatic cord in the male, and the round ligament in the female, would be endangered. If the obturator artery arise by a common trunk with the epigastric, it is likely to encircle the neck of the sac within the pelvis.
Seite 285 - The only movements permitted in the phalangeal joints are flexion and extension ; these movements are more extensive between the first and second phalanges than between the second and third. The movement of flexion is very considerable, but extension is limited by the anterior and lateral ligaments.
Seite 566 - The origin of the vessel is nearly opposite the centre of a line, drawn from the anterior superior spinous process of the ilium to the umbilicus.
Seite 163 - ... fissure with a straight blunt-pointed bistoury, removing little more than the mucous membrane ; then, with a pair of long blunt-pointed curved scissors, I divide the posterior pillar of the fauces, immediately behind the tonsil, and, if it seems necessary, cut across the anterior pillar, too ; the wound in each part being about a quarter of an inch in extent. Lastly, the stitches are introduced by means of a curved needle, set in a handle ; and, the threads being tied so as to keep the cut edges...
Seite 573 - The venze comites, and the anterior tibial nerve, are carefully excluded from the ligature. Should it seem necessary to secure the vessel on the instep, by regular dissection, it is found by an incision on the fibular side of the tendon of the extensor proprius pollicis. The Peroneal artery may be exposed, by a free incision on the posterior and tibial aspect of the fibula.
Seite 568 - ... and statistics will scarcely warrant even feeble contradiction of this any longer — that the two methods are at least equally successful for the cure of aneurism. " Recorded facts seem to prove the following conclusions: — 1, That, in popliteal aneurism, skilful compression of the femoral is capable of curing the disease, and that with comparative, and almost absolute safety to life and limb ; 2, That the time expended in cure is, on an average, not greater than in the treatment by ligature...
Seite 165 - ... neck, terminating in, or combined with abscess ; of inflammation and enlargement of the tonsils, either chronic or acute ; of ulcerations of the tongue or lips, often assuming a malignant action from continued irritation ; of painful feelings in the face, tic douloureux, pains in the tongue, jaws, &c. ;" of abscess and sinus of the cheek ; of enlargement and change of structure in the gum, which may lead to dangerous tumour of the bone ; " of disordered stomach, from affection of the nerves,...
Seite 24 - ... disproportionate to the importance of the case. The surgeon knows the insidious and covert nature of the evil with which he is called upon to cope ; and is not deceived by appearances. His main difficulty may lie in enforcing the measures which he knows to be essential. It were well that patients were in general as fully convinced, as are the members of the medical profession, of the truthfulness of the axiom, that "no injury of the head is too slight to be despised ;" and that whenever any serious...
Seite 144 - ... suffice to approximate and retain the surfaces. It is to be observed that the flap is not twisted round, as in the operation already detailed, but simply elevated, so as to do away with the risk of failure. Twisting is here unnecessary, for the mucous lining of the lip, forming the outer surface of...
Seite 201 - ... no person suffering from catarrhal inflammation of the dermoid layer of the meatus, the membrana tympani, or of the mucous membrane of the tympanum, can be assured that disease is not being prolonged to the temporal bone, the brain, and its membranes ; and that any ordinary exciting cause, as an attack of fever or influenza, a blow on the head, &c., may not induce the appearance of acute symptoms, which, as a general rule, are speedily fatal.

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