. American practice of surgery ; a complete system of the science and art of surgery . foreign body becomes so marked as to renderits extraction a difficult matter. Whenever, therefore, a foreign body is lodgedin the oesophagus in an niaccessible possition, from which it cannot be dislodgedeither iipw^ard or downward, the oesophagoscope should be used at once; the aid of this instrument, it will be found that, in a great many cases, theforeign body can be extracted. Treatment.^The treatment of foreign bodies lodged in the oesophagus shouldbe instituted as soon as the diagnosis has bee
. American practice of surgery ; a complete system of the science and art of surgery . foreign body becomes so marked as to renderits extraction a difficult matter. Whenever, therefore, a foreign body is lodgedin the oesophagus in an niaccessible possition, from which it cannot be dislodgedeither iipw^ard or downward, the oesophagoscope should be used at once; the aid of this instrument, it will be found that, in a great many cases, theforeign body can be extracted. Treatment.^The treatment of foreign bodies lodged in the oesophagus shouldbe instituted as soon as the diagnosis has been made. The various methodswiiich dispense with a cutting operation should be tried first—namely, extraction 424 AMERICAN PRACTICE OF SURGERY. through the mouth; forcing the foreign body down into the stomach; extractionwith the aid of the a?sophagoscope. Extraction through the mouth should be attempted in cases of foreign bodieswhich, by their character and situation, can be removed without undue longer a foreign body has be?n embedded, the more cautious should one be. Fig. 171.—Lutter Forceps. in ones efforts to remove it. The various forms of pharyngeal and oesophagealforceps are adapted principally to the removal of foreign bodies from the pharynxand upper oesophagus. (Figs. 171, 172, 173.) Fig. 174 represents an instrument■—Graefes coin-catcher—which, when it is passed beyond the foreign body andthen withdrawn, is likely to catch the body and bring it out. This instrumentis useful in cases in which the object is lodged in the lower portion of the oesopha-gus and does not completely obstruct the tube. The Weiss fishbone catcher,with ring, metal tip, and Sympsons hook contrivance, is represented in Fig. is passed beyond the object with the bristler folded and held in place by
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1906
