Text book of abdominal surgery : a clinical manual for practitioners and students . the abdominal wall is thin, or when the opening is madethrough the umbilicus. When this slight operation is per-formed in the way described, and with a clean instrument,there is absolutely no danger. Instead of removing the fluidin a few minutes, a fine trocar with capillary tube is sometimesused to empty the abdomen slowly. There is not any advan-tage to be gained by adopting this plan in preference to the onealready described, because the rapid method leaves nothing tobe desired when properly carried out. The
Text book of abdominal surgery : a clinical manual for practitioners and students . the abdominal wall is thin, or when the opening is madethrough the umbilicus. When this slight operation is per-formed in the way described, and with a clean instrument,there is absolutely no danger. Instead of removing the fluidin a few minutes, a fine trocar with capillary tube is sometimesused to empty the abdomen slowly. There is not any advan-tage to be gained by adopting this plan in preference to the onealready described, because the rapid method leaves nothing tobe desired when properly carried out. The disadvantages of 24 TAPPING, ASPIRATION, ETC. leaving a patient for many hours with a trocar in the peritonealcavity are, that the patient has to lie very quietly or run therisk of the trocar slipping out, and there is a certain amountof danger of erysipelas resulting from the prolonged irritation. ASPIEATION. for aspiration, the most convenient instruments consist ofwhat may be called an exploring instrument; and a secondwith which large quantities of fluid can be removed; the. Fig. 4.—Dieulafoys Aspirator. principles of both being exactly the same. The first of theseinstruments is that of Dieulafoy; it consists of an exhaustingcylinder, which can contain fully two ounces, and is provided withtwo stop-cocks at one end. Before the air is exhausted by withdrawing the piston, bothstop-cocks are closed ; to one is attached a piece of rubber tubewith thick walls to the other end of which a hollow sharp-pointedneedle is fitted. It is to be used when there is a doubt as towhether a growth contains fluid or not: the syringe is exhausted,the needle is rendered aseptic, and is plunged into the mostlikely part of the swelling. The stop-cock connected with theneedle is opened, whereupon fluid, if present in the tumour,flows into the cylinder; should the amount of fluid be evidentlysmall, this stop-cock is closed when the cylinder is full, and the ASPIRATION. 25 fluid it contains is dri
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectabdomen, bookyear1894
