The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . gs February 19th. Primary union throughout, except where a narrowstrip of the integument had necrosed along anterior part of incision. Dry SJfth.—All firmly healed. Patient walks well without support. Note.—In exposing the external iliac artery, the small group of lymphatic glands foundunderneath the transversalis fascia, just above Pouparts ligament, may serve as an unfailingguide. As soon as these glands come to view, the peritoneum can be stripped up without
The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . gs February 19th. Primary union throughout, except where a narrowstrip of the integument had necrosed along anterior part of incision. Dry SJfth.—All firmly healed. Patient walks well without support. Note.—In exposing the external iliac artery, the small group of lymphatic glands foundunderneath the transversalis fascia, just above Pouparts ligament, may serve as an unfailingguide. As soon as these glands come to view, the peritoneum can be stripped up without diffi-culty. In incising a deeply situated perityphlitic abscess, the same glands serve as a good land-mark to prevent the operator from cutting into the fascia of the ilio-psoas muscle, which woulddivert him under the vessels. II. EXTIRPATION OF TUMORS. In removing tumors three requirements have to be commonly held in view:First, the avoidance of septic infection from without or from , the complete removal of the , its safe removal. SPECIAL APPLICATION OF THE ASEPTIC METHOD. 51. Fig. 34:.—Gluteal tumor belore extirpation. How to avoid infection from without was seen in previous chapters ofthis book. By infection from within, two kinds of infection are meant. One is the contamination by septic contents of the tumor that may escapeinto the wound through an accidental cut or a laceration of the tumor,caused by rough handling orthe careless use of sharp re-tractors, as, for instance, in ex-tirpating suppurating glands. Case.—Sarah Barn, servant, aged sixteen; old Potts disease of the cervical vertebrae; large glandular swelling of right sub maxillary reaion, with several si-nuses leading cown toward the spine. It was pretty certain that no serious degree of the affection of the vertebrae could be present, as the function of the cervical spine was nearly normal. Xovem- her Jfi 18S6.—Flap incision and exsection of the large mass of tubercul
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888
