. Annals of surgery . Fig. 6 (a).—August 19, 1899. Culture from discharging fistula. No dietary Fig. 6 (3).—August 21, li After twelve hours of sterile diet. even under local anaesthesia, comes too late to ward off. Forexample, in Case XX, a man, aged seventy-six years, presented LOCAL ANESTHESIA IN RADICAL CURE OF HERNIA. 21 a gangrenous strangulation of four days duration. On March21, 1899, a fistula was established under cocaine anaesthesia,through misguided judgment, without complete excision of allof the gangrenous loop of bowel, though it was left out of theabdomen. The pa


. Annals of surgery . Fig. 6 (a).—August 19, 1899. Culture from discharging fistula. No dietary Fig. 6 (3).—August 21, li After twelve hours of sterile diet. even under local anaesthesia, comes too late to ward off. Forexample, in Case XX, a man, aged seventy-six years, presented LOCAL ANESTHESIA IN RADICAL CURE OF HERNIA. 21 a gangrenous strangulation of four days duration. On March21, 1899, a fistula was established under cocaine anaesthesia,through misguided judgment, without complete excision of allof the gangrenous loop of bowel, though it was left out of theabdomen. The patient was in extremis at the time of operation,with evidences of hypostasis. By the second day the proximalbowel had emptied itself, and he had improved sufficiently tomake me think it advisable to remove the remaining portionsof the necrotic intestine. This was done under local anaesthesia,and gave so little discomfort that the opening into the abdomen


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885