. A manual of operative surgery . 595600 637651665672679689 695698702 72373i739765 LIST OF COLOURED AND HALF-TONE PLATES The Right Kidney from the Front . . Frontispiece plate Facing page i. A Modern Operating Theatre ..... 32 2. Dressers Room ........ 34 3. Spectators Gallery and Table for Sutures and Ligatures ........ 34 4. Instrument Cabinet ....... 34 5. Slab on which Instruments are Sterilised . 36 6. Main Steriliser ........ 36 7. Steriliser for Instrument Trays, etc., and Metal Box for Soiled Dressings . . . -36 8. Sisters Table ........ 36 9. Operating Tables ....... 40 10. Stomach an


. A manual of operative surgery . 595600 637651665672679689 695698702 72373i739765 LIST OF COLOURED AND HALF-TONE PLATES The Right Kidney from the Front . . Frontispiece plate Facing page i. A Modern Operating Theatre ..... 32 2. Dressers Room ........ 34 3. Spectators Gallery and Table for Sutures and Ligatures ........ 34 4. Instrument Cabinet ....... 34 5. Slab on which Instruments are Sterilised . 36 6. Main Steriliser ........ 36 7. Steriliser for Instrument Trays, etc., and Metal Box for Soiled Dressings . . . -36 8. Sisters Table ........ 36 9. Operating Tables ....... 40 10. Stomach and Duodenum ...... 172 11. Pancreas, Duodenum, Kidneys, etc., seen from the Front ......... 224 12. Structures concerned in the Radical Cure of Inguinal Hernia 334 13. Structures concerned in Operations on Femoral and Inguinal Hernia ...... 14. Uterus, Vagina, and Uterine Appendages . 15. The Kidneys from Behind ..... 16. Transverse and Longitudinal Sections of Loin . 17. Radiograph of Calculi in Kidney 364 428 478480 497. A MANUAL OF OPERATIVE SURGERY PART L—GENERAL PRINCIPLES CHAPTER ITHE PATIENT I.—CONDITION OF THE PATIENT AS IT AFFECTS THERESULT OF AN OPERATION Never decide upon an operation, even of a trivial kind,wrote Sir James Paget, without first examining the patientas to the risks of his life. You should examine him with atleast as much care as you would for a life insurance. It issurely at least as important that a man should not die, or sufferserious damage, after an operation, as that his life should besafely insured for a few hundred pounds. In the case of urgent operations, performed for the immediatepurpose of saving life—as in the relief of a strangulated hernia—-few considerations weigh with the surgeon save the one greatneed. But before undertaking operations of expediency, suchas the removal of innocent tumours, the closure of a cleft palate,and the like, it is of infinite importance that every possibleconsideration be given to all circumstances whic


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