Proceedings of the Royal Medical and Chirurgical Society of London |
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abdominal Abstract admitted a Fellow affected albuminuria alcoholic Anatomy aneurism aorta appeared appointed arteries became blood Books were presented Bright's disease cause cavity cent Chair Charing Cross Hospital CHARLES J. B. WILLIAMS Chirurgical Society clinical College of Surgeons communication was read communications were read condition Council death died elected a Fellow erysipelas examination fever following communications following gentlemen George George's Hospital glands Guy's Hospital hæmorrhage Honorary Fellow hyalin-fibroid hypertrophy increase India Office inflammation influence intussusception John kidney laryngeal Lecturer London lungs Medicine membrane muscles muscular nerve non-resident observations Obstetrical occurred operation ovariotomy paper pathological patient phthisis Physician pia mater practice presented by Dr President Professor proposed for election pulsation pulse pyæmia Received recurrent nerve remarkable removed result Surgery Symes Thompson symptoms syphilis temperature THOMAS BLIZARD CURLING tion tissue Transactions treatment tumour umbilicus urea urine uterus vaccination vessels visitors
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Página 197 - That the circumstances which might cause difficulty are — (1) the tightness of the impaction of the parts; (2) the existence of adhesions; and (3) the presence of gangrene. 15. That in selecting cases suitable for operation, the surgeon should be guided by the severity of the symptoms to an estimate of the tightness of the strangulation, and as to the probability of gangrene already set in.
Página 197 - That in many cases it is easy, by estimating the severity of the symptoms (vomiting, constipation, &c.), to form an opinion as to whether the intestine is strangulated or simply irreducible. 8. That in cases of strangulated intussusception, whilst there is great risk of speedy death, there is also some hope that gangrene may be produced and spontaneous cure result. 9. That in cases in which the intussuscepted part is incarcerated and not strangulated, there is very little hope of the occurrence of...
Página 196 - That it is by no means very uncommon for intussusception to begin at the ileo-csecal valve, and to progress to such a length that the invaginated part is within reach from the anal orifice, or even extruded. 2. That it is of great importance in all cases of suspected intussusception to examine carefully by the anus. 3. That in almost all cases of intussusception in children, and probably...
Página 113 - ... making the vesicle bleed ; in none of the instances is there any history that the lymph was visibly bloody; while it is well known that many men of large experience do allow the vaccine vesicle to weep. According to this supposition, as soon as the first contents of the vesicle are exhausted the risk begins. Third : If the syphilitic virus and the vaccine virus be implanted at one and the same time, what will be the course of events? If the patient is susceptible of vaccination the vesicle goes...
Página 196 - The intussusception had commenced at the csecum, and was of such length that its extremity, presenting the inverted ileo-csecal valve, was extruded several inches at the child's anus. The condition had been one month in course of development ; latterly the case had been treated as one of prolapsus, and attempts had been made to keep the bowel in place by means of a cork pad. The child was very ill, and the author having failed in attempts to effect reduction by enemata &c., and having had experience...
Página 196 - ... had ended fatally, determined to operate. The child was put under chloroform, and the abdomen was opened in the middle line, below the umbilicus. The intussusception was then easily found, and as easily reduced. The after-treatment consisted only in the administration of a few mild opiates, and the child made a rapid recovery.
Página 197 - ... for some considerable time, and in which the intestine is only incarcerated, and that these cases are also precisely those least likely to be relieved by any other method. 12. That in the cases just referred to, after failure by injections, bougies, &c , an operation is to be strongly reccomended.
Página 118 - The edge of the wound in the sac was stitched to the edge of the peritoneal wound by a continuous suture, the peritoneal cavity being thus completely closed. The upper half of the parietal wound (its entire length being about seven inches) was closed by deep sutures. A syphon drainage-tube was inserted deeply into the pelvic cavity, and the whole was syringed out every eight hours with a solution of sulphite of soda.
Página 89 - With regard to the other organs, they are damaged by alcohol much as they stand in its line of absorption. Next to the stomach the liver suffers, by way of cirrhosis and fatty impregnation. Next the stress falls upon the lung, taking every shape of phthisis. A large share in the pathology of intemperance is also taken by the arterial system, as seen in its results — atheroma, cardiac hypertrophy, and haemorrhage.
Página 18 - ... that enteric fever, and all its attendant phenomena, may occasionally become a part of almost any other general inflammatory condition, specific or simple.