AMAarchives of neurology & psychiatry . all. in middle dorsal or upper dorsal lesions. Postoperative Care.—The care of patients after laminectomy differslittle from general surgical care. We prefer to keep the patient on hisabdomen on three or four soft pillows, with the head slightly lower thanthe operative field, for three or four days, besides avoiding unduepressure on the bony prominences. He is then permitted to turn on hisside, and after ten or twelve days to lie on his back. About thefourteenth day he may sit up in a chair. We have found that he ismore comfortable in the prone position,
AMAarchives of neurology & psychiatry . all. in middle dorsal or upper dorsal lesions. Postoperative Care.—The care of patients after laminectomy differslittle from general surgical care. We prefer to keep the patient on hisabdomen on three or four soft pillows, with the head slightly lower thanthe operative field, for three or four days, besides avoiding unduepressure on the bony prominences. He is then permitted to turn on hisside, and after ten or twelve days to lie on his back. About thefourteenth day he may sit up in a chair. We have found that he ismore comfortable in the prone position, that the wound heals more 534 ARCIIIlliS OF NEUROLOGY AND PSYCHIATRY rapidly, and there is less danjj;er of drainage of cerebrospinal fluid, espe-cially in cases of intramedullary tumors in which the dura is left the ])atient has not been catheterized i)reviously, the bladder isallowed to overflow. If cystitis is present and the patient has beencatheterized previously, a retention catheter is inserted i)rior to opera-. Y\a, 11. Tumor shown in Figure 10, extending down into the conus. tion. and is changed about once a week. The bladder is lavaged dailywith a 2 per cent, solution of boric acid, and about one-half ounce(15 ) of 10 per cent, solution of arg}Tol is introduced and allowedto remain in the bladder for one-half hour. If there is any evidenceof pyelitis, acid sodium phosphate and , 7 grains( gm.) of each, three times a day. are administered. This is followedbv a week of rest, and a second course of medication. ADSOX-OTT—SPIXAL CORD TUMOR 535 Convalescence.—Recovery depends on the duration of the tumor has been removed without trauma, a patient with a dura-tion of symptoms of one year or less may be expected to recover com-pletely ; one with a duration of symptoms of not more than three years,to improve markedly. Recovery is more complete following the removalof soft tumors than hard, nodular ones; and, if the same
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