. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. seces escaped per anum; in another because ofa large ulcerated surface around the mouth of the fistula,and its thin lips ; while in the third case no eperon existed,and a spontaneous cure seemed very unUkely. The firstand third cases wer
. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. seces escaped per anum; in another because ofa large ulcerated surface around the mouth of the fistula,and its thin lips ; while in the third case no eperon existed,and a spontaneous cure seemed very unUkely. The firstand third cases were entirely successful, while the second un-fortunately died in consequence of an embolus, derived from • Max Schede. Ueber Enterorrhaphie.— Verhandl. Deutsch. Gesellsch. furChirurgie, 1879, viii. p. 78. F^CAL FISTULA. 207 an old thrombus in the femoral vein, becoming impacted inthe pulmonary artery. Schede performed the operation in the followingmanner. The patient so far as possible completely abstained fromfood for twenty-four hours, the gut was completely clearedof fgeculent matter by purgatives, and enemata were after-wards administered through the artificial opening. Thelinger Was now passed into the fistula in order to determinethe position of the upper portion of intestine, and in adirection corresponding to this an incision was made through. Fig. 39.—Lemberts intestinal suture. The drawing represents a section ofthe large intestine about twice the natural size. The upper is the peritonealsurface,, the lower is that of the interior of the tube. the abdominal wall, layer by layer, until the gut was exposed,not extending, however, quite into the fistula. A temporaryligature of thick catgut was now passed round the gut andtied with sufficient tightness to prevent any escape of theintestinal contents during the later stages of the small portion of gut below the ligature was then dis-infected by five-per-cent. carbolic lotion, and the remainingbridge of sk
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