The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . d and tied, and the patient made a goodrecovery. Langeiiheclcs clamp and actual cautery meth-od is very good and safe, its only drawback be-ing the necessity for a cautery apparatus. Caremust be taken not to grasp with the clamp thenodes too near their base, as the resulting eschar is apt to be very large,and anal stricture may follow. The hollow tampon is very useful in this method also, and itsuse can be warmlyrecommended (, b). 3. Rectal Tu-mors. — Since thepublica
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . d and tied, and the patient made a goodrecovery. Langeiiheclcs clamp and actual cautery meth-od is very good and safe, its only drawback be-ing the necessity for a cautery apparatus. Caremust be taken not to grasp with the clamp thenodes too near their base, as the resulting eschar is apt to be very large,and anal stricture may follow. The hollow tampon is very useful in this method also, and itsuse can be warmlyrecommended (, b). 3. Rectal Tu-mors. — Since thepublication of Volk-manns remarkableresults achieved byextirpation of therectum for cancer,the operation, for-merly condemned,has met with fre-quent authors mel-ancholy record ofsix deaths out ofeight operations hasnothing to inspire great confidence. It must be said, however, that mostof these operations were performed under very unfavorable conditions. Allthe patients presented instances of very extensive involvement of the gut,requiring in each case the removal of more than three inches—in one case,22. Fig. 126.—T-bandaffe in ,iiti/. 158 RULES OF ASEPTIC AND ANTISEPTIC SURGERY. nine inches—of intestine. Almost all of them were performed during thefirst years of the authors independent surgical activity, when his masteryof the difficult technique, both of the aseptics and hemostasis of the regionin question, was imperfect. Much unnecessary haemorrhage was incurred,and several of the most important cautelae against infection remained unem-ployed. Accordingly, two patients died shortly after the operation of col-lapse, due to acute anaemia; two died of purulent peritonitis, caused byinfection of the incised peritonaeum ; one died of septicaemia, induced bythe presence of a large retroperitoneal abscess, extending far up in front ofthe vertebral column. One patient, a very fat, flabby woman, died of lobarpneumonia at a time when the wound was nearly healed. Two ca
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888
