Practical Surgery |
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abscess amputation aneurysm apparatus applied artery articulation ascertained axilla bandage become betwixt bistoury bladder blade bleeding blood bone bowel canal cartilage catheter cause cavity cellular tissue cicatrization compress consequence covered cure cyst difficulty discharge disease displacement dissection divided edges effected effusion exposed extent external fascia favourable fibres finger flap fluid forceps fore-arm foreign body fracture glottis hæmorrhage hernia humerus hydrocele incision injury instrument integument irritation joint knife laceration larynx ligament ligature limb lint lithotomy lithotrite lower luxation matter means membrane motion mucous muscles nature neck needle nerves nose occasionally opening operation pain parietes passed patient performed perineum periosteum portion position posterior pressure prevent proceeding proper puncture readily removed round scrotum side situation skin soft solution of continuity sometimes splint stone stricture surface surgeon suture swelling symptoms take place tendo achillis tendons thigh tibia tion tumour ulceration urethra urine vein vessel viscus whilst wound
Popular passages
Page 219 - ... continued down, in a straight direction, to the free margin of the lip ; and a similar one, parallel to the former, is made on the opposite side of the mesial line, so as to insulate a flap about a quarter of an inch in breadth, and composed of skin, mucous membrane, and interposed substance. The fnenulum is then divided, and the prolabium of the flap removed.
Page 219 - 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 the columna, readily assumes the color and appearance of integument, after exposure for some time, as is well known. The fixing of the columna having been accomplished, the edges of the lip must be neatly brought together by the twisted suture.
Page 348 - The existence of this swelling may often be ascertained by a careful examination with the fingers, and a view of the parts may sometimes be obtained by means of a speculum, — such a glass as is used by dentists on a long stalk previously dipped in hot water, introduced with its reflecting surface downwards and carried well into the fauces.
Page 408 - This internal incision must be very limited indeed ; it should certainly not extend beyond six or seven lines from the urethra outwards and downward* : for the less that is cut the greater will be the patient's safety.
Page 218 - The deformity produced by its loss is not far short of that caused by destruction of the whole nose. Happily, after the ulceration has been checked, the part can be renewed neatly, safely, and without much suffering to the patient. The operation, which I have...
Page 218 - A sharp-pointed bistoury is then passed through the upper-lip, previously stretched and raised by an assistant, close to the ruins of the former columna, and about an eighth of an inch on one side of the mesial line. The incision is continued down, in a straight direction, to the free margin of the lip ; and a similar one, parallel to the former, is made on the opposite side of the mesial line, so as to insulate a flap composed of skin, mucous membrane, and interposed substance, about a quarter of...
Page 166 - The operation has been resorted to, in order to arrest the growth of tumours of the face and jaws, for which purpose it must be ineffectual ; and it has also been performed as a preliminary step to the removal of such diseases. The suffering of the patient is thus much prolonged, without his safety being at all enhanced, or the dissection of the tumour in any way facilitated. The flow of blood is quite as effectually commanded by pressure with the fingers on the common carotid of the affected side...
Page 25 - ... advantages of the very highest importance. Are there no exceptions to this law by which silk ligatures are extruded from the surface ? Mr. Liston writes on this point : " The practice of cutting off both ends of the ligature was at one time very much the fashion. It was thought that the nerve-noose or knot might by possibility remain imbedded in the living tissues surrounded by a cellular cyst and occasion no annoyance. All these hopes have been disappointed.
Page 379 - The operation of introducing a catheter, through what has been called an impermeable stricture, is without doubt the most difficult in the whole range of surgical operations, and demands all the prudence, science, and skill of a master.
Page 30 - ... of any one who puts confidence in us, who trusts us with his life, or of one who, as in public practice, is, as it were, by chance, and without the means of appeal, thrown into our hands, cannot by any means be palliated or defended — it is, in point of fact, highly criminal. Dressing of Wounds. " A sort of routine practice has been long pursued in dressing wounds. They are put together without delay, and their edges squeezed into apposition and retained so by various means, such as sutures,...