. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. osedeposit, I found there was still a great amount of pain whichI thought unnecessary, produced by the instrument—since,being rather blunt at the point, it met with considerableresistance in penetration. 1 See Fig. of Heatons case, letter b in Appendix. 144 HERN r A. When I came to make a second injection, which was necessaryon the left side of this hernia, since the first injectio
. Hernia, strangulated and reducible. With cure by subcutaneous injections, together with sugcested [!] and improved methods for kelotomy. Also an appendix giving a short account of various new surgical instruments. osedeposit, I found there was still a great amount of pain whichI thought unnecessary, produced by the instrument—since,being rather blunt at the point, it met with considerableresistance in penetration. 1 See Fig. of Heatons case, letter b in Appendix. 144 HERN r A. When I came to make a second injection, which was necessaryon the left side of this hernia, since the first injection did notsucceed in causing the adventitious tissue to be thrown out so asfully to close the ring, I found much greater resistance in the in-teguments than before, they having become more firmly consoli-dated from the effect of the oak bark. The operation thuscaused considerable pain, although no more than most patientscould endure without etherisation. I next turned my attention to find some means of penetratingthe tissue into the hernial ring with less pain, and for this purposedevised a new instrument, Fig. 32. It consists of a glass barrelinclosed in silver, through whose fenestrated openings the iluid. Fig. 32.—My First Instrument, witli Revolving Nccdlo. can be seen and the presence of air-bubbles detected. Thenumber of minims is also plainly indicated on the engravedglass barrel, so that we can measure the exact number of dropsinjected in any given operation. It has two semicircular handleson the lower end for holding the instrument conveniently andfirmly during the operation. If we next examine the needle or beak, we shall see that itis hollow, about one and three-quarter inches long, and thatthroughout its whole length it partakes of a spiral twist, so thatit will, of necessity, revolve as it enters the tissue, and by suchrevolving penetrate the skin and other integuments much morereadily than is possible with a straight, bluntly-pointed instru-ment. We can readily
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