Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . done in a surgical way. Systematic 556 SURGICAL TREATMENT treatment with tuberculin should be begun a week or two after the operation,and continued after the patient leaves the hospital. Under this treatment,combined with hygiene, 50 per cent, of cases may be cured, and most allpatients benefited. A. Florio (Gazzetta degli Ospedalie delle Cliniche, Jan. 2, 1910) aspiratedthe ascitic fluid and then injected air into the peritoneal cavity in amountabout equal to the
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . done in a surgical way. Systematic 556 SURGICAL TREATMENT treatment with tuberculin should be begun a week or two after the operation,and continued after the patient leaves the hospital. Under this treatment,combined with hygiene, 50 per cent, of cases may be cured, and most allpatients benefited. A. Florio (Gazzetta degli Ospedalie delle Cliniche, Jan. 2, 1910) aspiratedthe ascitic fluid and then injected air into the peritoneal cavity in amountabout equal to the fluid withdrawn. The air is absorbed in from six to twenty-three days. The benefits of the operation seem to be as great as by lapa-rotomy. For this operation the same apparatus may be used as is employedin the similar treatment of pleurisy with effusion (page 401). In the suppurative form there is either a breaking down of tissues or amixed infection. It is best not operated upon unless a distinct well-circum-scribed wall is present, and then the treatment should be that described fortuberculous abscess (Vol. I, page 281).. ANT. AXILLARY I LINE I 1 Fig. 1217.—Transpleural for transpleural incision of subphrenic abscess. Showing line of incision indiaphragm, after pleura has been incised and the parietal and diaphragmatic layers of thepleura have been sewed together. The local application of tincture of iodin (10 per cent.) has proved effect-ive in the hands of some surgeons. The abdomen is opened, and emptiedof fluid. As much of the tuberculous area as is easily accessible is paintedwith the iodin, which is then wiped off with gauze. The abdomen is thenclosed. Following the treatment the abdomen becomes distended withfluid, which in the course of two weeks may be expected to disappear. Thetenderness subsides. The patients may be allowed up three weeks after theoperation to resume hygienic treatment. Distinctly tubercular organs,such as the Fallopian
Size: 1613px × 1550px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
