The after-treatment of operations; a manual for practitioners and house surgeons . (Esophag-otomy. The chief difficulty in these cases is the feeding ; ifpossible, this should be done by nutrient enemata for thefirst three or four days, and the patient not allowed toswallow anything by the mouth during this time. If,however, this cannot be managed, a soft rubber tubemust be passed down the oesophagus either from themouth or nose, and the patient fed through it. This tubecan either be inserted each time the patient is fed, or, ifpossible, it should be retained, at any rate during thedaytime. At
The after-treatment of operations; a manual for practitioners and house surgeons . (Esophag-otomy. The chief difficulty in these cases is the feeding ; ifpossible, this should be done by nutrient enemata for thefirst three or four days, and the patient not allowed toswallow anything by the mouth during this time. If,however, this cannot be managed, a soft rubber tubemust be passed down the oesophagus either from themouth or nose, and the patient fed through it. This tubecan either be inserted each time the patient is fed, or, ifpossible, it should be retained, at any rate during thedaytime. At the end of the first week or earlier, if thewound is healing well, the patient may be allowed to Operations on the Neck 155 swallow liquids in small quantities at a time. Thesewounds are practically always septic, owing to organismsgetting into them from the wound, and it is necessary tosee that there is free drainage at the most dependent partof the wound , Operations on the Thyroid Gland. Complications.—(i) Aphonia ; (2) cellulitis of theneck ; (3) thyroidism ; (4) Fig. 25.^Chart of a Case of Thyroidism. Aphonia results from wounding the recurrent laryngealnerve, or from its becoming involved in the cicatrix. Inthe first case, the aphonia will come on immediately afterthe operation, and in the second, some time afterwards. Cellulitis of the neck is a very serious complication,and should, of course, not occur; if it does, the woundmust at once be freely opened up and drainage pro-vided for. The possibility of thyroidism occurring afteroperations on the gland must be borne iij mind. The ij6 The After-Treatment of Operatic ns symptoms are similar to those of exophthalmic goitre(without the exophthalmus), but are acute. They comeon, as a rule, at the end of the first twenty-four or forty-eight hours after the operation ; the temperature goesup, often to a great height (103° to 105° F.), and remainsintermittent fFisr. 25) : the patient very flushedand uncomf
Size: 1554px × 1607px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bo, bookcentury1900, bookdecade1910, bookidaftertreatmentof00lock
