The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . eful treatment, in order to favor its clos-ure ; and this may be attempted by the use of such means as will favor thehealing of fistulous orifices generally, such as cauterization by the nitrate ofsilver or sulphate of copper, or by compression, or the quilled suture, orby anaplasty. In most cases, a certain amount of pressure upon the ab-dominal parietes near the seat of the opening
The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . eful treatment, in order to favor its clos-ure ; and this may be attempted by the use of such means as will favor thehealing of fistulous orifices generally, such as cauterization by the nitrate ofsilver or sulphate of copper, or by compression, or the quilled suture, orby anaplasty. In most cases, a certain amount of pressure upon the ab-dominal parietes near the seat of the opening will prove useful, and I havemore than once seen great benefit derived from the application of a truss overa greased compress placed upon the ulcer, after cauterization by sulphate ofcopper. Operation of J. R. Lotz, of Pennsylvania, f—An ingenious modificationof the instrument and operation of Dupuytren has been made by Lotz, ofNew Berlin, Pennsylvania. His instrument consists of two blades withfenestra, each of which is about an inch long and a quarter of an inch wide,and surrounded by a solid rim about a line thick, the whole length of theinstrument being about six inches, and its weight nine Fi<r. 426. A side view of Lotzs instrument for the cure of Artificial Amis. 1, 1. Pins to keep the blades paraTlel. i,t. Screws to the blades. 3. The fenestrated branches that compress the spei-on,or spnr-like process of the intestine. After union been induced by the compression of the coats of the,bowel, the intermediate portion can be cut by a bistoury i)assed through the fenestra. The blades are intro-duced separately into the intestine, and subsequently closed and approximated by the screws. (After theinstrument.) Operation.—The two blades, being introduced separately, are to be broughttogether and closed by means of two screws, so as to preserve the parallel-ism of the blades, after which the plates may be gradually approximated orslackened, accor
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