Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . elaxed. In this mannerthe cyst may be delivered, the pedicle blocked and dealt with with-out the slightest sensation of pain and without the possibility of soil-ing, which becomes an exceedingly important matter in malignantdisease. Even where the results - of inflammatory disease are present muchmay be done by strategy in meeting the indications. A perfect ex-posure with a perfect negative pressure may and often does give LOCAL ANESTHESIA IN ABDOMINAL SURGERY 351 one the opportu
Transactions of the American Association of Obstetricians, Gynecologists, and Abdominal Surgeons for the year ... . elaxed. In this mannerthe cyst may be delivered, the pedicle blocked and dealt with with-out the slightest sensation of pain and without the possibility of soil-ing, which becomes an exceedingly important matter in malignantdisease. Even where the results - of inflammatory disease are present muchmay be done by strategy in meeting the indications. A perfect ex-posure with a perfect negative pressure may and often does give LOCAL ANESTHESIA IN ABDOMINAL SURGERY 351 one the opportunity to see the retaining bands which anchor the tis-sues that are to be excised to the posterior abdominal wall with theaid of only slight traction while the bands are cut with knife orscissors and the parts liberated. We have in a number of instancesremoved adherent pus tubes by following this plan. Masses whichappear very adherent and resistant will be found at times to shellout easily after cutting the key bands directly under the eye. Theimportant point is to locate the lines of cleavage with as slight an. Fig. 3.—Showing method of blocking the round ligaments by injection. amount of traction as possible and to clip the retaining bands as theyappear. The removal of large uterine or ovarian tumors is accomplishedwith the greatest ease, provided the pedicles are sufficiently with short pedicles, when delivered, are apt to place the pelvictissues upon the stretch and therefore produce distress. We have formany years performed all our hysterectomies and myomectomies understraight local anesthesia, except in this class of cases. In all caseswhere these complications are probable, or where pelvic inflammation 352 ROBERT EMMETT FARR is present, or in the presence of malignant disease, the condition maybe met satisfactorily by augmenting infiltration of the abdominalwall, just described, with a caudal anesthesia. CAUDAL ANESTHESIA The analgesia resulting from the int
Size: 1473px × 1696px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdecade1920, booksubje, booksubjectobstetrics
