A Manual of the Operations of Surgery, Joseph Bell [suggested reading .txt] 📗
- Author: Joseph Bell
- Performer: -
Book online «A Manual of the Operations of Surgery, Joseph Bell [suggested reading .txt] 📗». Author Joseph Bell
[106] Diagram of double harelip, with projecting bone:—a, central piece of lip, dotted lines showing incision; b, projecting bone bearing teeth, which are generally small and stunted.
[107] Diagram of operations on the jaws:—a, incision for removal of the whole upper jaw; b, incision for removal of alveolar portion and antrum; c, incision for removing the larger half of lower jaw; the opposite side is the one supposed to be operated on, and the incision is crossing the symphysis and turning up at a right angle.
[108] Operative Surgery, p. 265.
[109] Lancet, July 1, 1865.
[110] Temporary compression of the facial can be easily managed, in cases where it is of much importance to avoid loss of blood, by passing a needle from the outside through the skin above the vessel, then under the vessel, and out again through the skin below. A figure-of-eight suture can then be thrown round both ends of the needle, and the artery thus thoroughly compressed.
[111] Syme, Contributions to the Path. and Practice of Surgery, p. 21; Carnochan of New York, Cases in Surgery.
[112] Contributions to the Path. and Prac. of Surgery, pp. 23, 24.
[113] Lancet, July 1, 1865.
[114] Rough diagram of operation for salivary fistula:—a, section of cheek close to buccal orifice; b, section of zygoma, muscles, etc.; c, the duct of the parotid; d, the fistulous opening of the cheek; E E, the thread knotted inside the mouth; f, the palate.
[115] Lancet, Feb. 4, 1865.
[116] Med. Times and Gazette for Feb. 10, 1866.
[117] Lancet, April 20, 1872.
[118] Transactions International Medical Congress, 1881, vol. ii. p. 460.
[119] Gross's Surgery, vol. ii. p. 472.
[120] Langenbeck, Archiv, ii. p. 657.
[121] Med. Chir. Trans. for 1867-8.
[122] Diagram of staphyloraphy, chiefly to illustrate the passing of the threads:—a, the first thread; b, the second. The dotted line at edge of fissure shows amount to be removed; the other dotted lines showing size and position of the incision through the mucous membrane above.
[123] Holmes's Surgery, vol. ii. pp. 504-513.
[124] Edinburgh Medical Journal for Jan. 1865, Mr. Annandale's instructive paper on "Cleft Palate."
[125] Diagram of fissure of hard palate:—a, anterior palatine foramina; b, posterior palatine foramina with groove for artery; c, incisions requisite to free the soft structures.
[126] Holmes's Diseases of Children, p. 555.
[127] Leçons sur la Trachéotomie, p. 10.
[128] Rough diagram of larynx and trachea:—A, crico-thyroid space, laryngotomy; B B, dotted outline of thyroid isthmus and lobes, defines the upper and lower positions for tracheotomy; C, thyroid—D, cricoid cartilages; E, dotted outline of thymus gland in child of two years; F F, outline of clavicles and jugular fossa.
[129] Surgical Observations, p. 335. See also Harrison On the Arteries, vol. i. p. 16.
[130] Leçons sur la Trachéotomie, p. 9.
[131] Lectures on Surgery, 3d ed., vol. ii. p. 900.
[132] Clinical Surgery in India (1866), p. 143.
[133] Mr. John Wood, Path. Soc. Trans., vol. xi. p. 20.
[134] South's Chelius, vol. ii. p. 400; and case recorded by Spence, in Ed. Med. Journal, for August 1862.
[135] Med. Chir. Transactions of London, 1872.
[136] British Med. Journal (Nos. 643, 644), 1873.
[137] Gross's Surgery, 6th ed., vol. ii. p. 342.
[138] Guy's Hospital Reports for 1858.
[139] Both in Guy's Hospital Reports, second series, vol. ii.
[140] Edinburgh Medical Journal for June 1866.
[141] Description of Sir Spencer Wells's Trocar.—"It consists of a hollow cylinder six inches long, and half an inch in diameter, within which another cylinder fitting it tightly plays. The inner one is cut off at its extremity, somewhat in the form of a pen, and is sharp. The sharp end is kept retracted within the outer cylinder by a spiral spring in the handle at the other end, but can be protruded by pressing on this handle when required for use. When thus protruded it is plunged into the cyst up to its middle; the pressure on the handle is taken off, and the cutting edge is retracted within its sheath. The fluid rushes into the tube, and escapes by an aperture in the side, to which an india-rubber tube is attached, the end of which drops into a bucket under the table. The instrument is furnished at its middle with two semicircular bars, carrying each four or five long curved teeth like a vulsellum. These teeth lie in contact with the outer surface of the cylinder, but can be raised from it by pressing two handles. When the cyst begins to be flaccid by the escape of the fluid, these side vulsellums are raised, and the adjoining part of the cyst is drawn up under the teeth, where it is firmly caught and compressed against the side of the tube."
[142] For further details on the operations described above, reference may be made to Sir Spencer Wells's work on ovarian disease, and to the very valuable papers contributed by Dr. Thomas Keith to the Edinburgh Medical Journal. To the latter especially the author is indebted for much oral instruction, and for the opportunity of seeing his careful and dexterous mode of operating.
[143] Lect. on Surgery, 3d ed., vol. ii. p. 998.
[144] Operative Surgery, p. 462.
[145] Rough diagram of abnormal course of obturator and its relation to the neck of a hernia. Parts seen from the inside: h, femoral hernia; a, femoral artery; v, femoral vein; e, epigastric artery; o, obturator from epigastric (dangerous); s o, obturator from epigastric (safe); n o, normal course of obturator; i r, internal inguinal ring; Sp c, spermatic chord and its vessels; g, Gimbernat's ligament; +, in triangle of Hesselbach.
[146] Holmes's Surgery, 3d ed., 1883, vol. ii. p. 837.
[147] Clinical and Pathological Observations in India, pp. 44, 325.
[148] Wood On Rupture, 1863.
[149] Diagram of an artificial anus, showing small sutures which unite the edges of the gut and the skin, and the large ones stitching up the wound beyond.
[150] Diagram of section of prostate seen from the inside:—pf, pelvic fascia or prostatic sheath; rr, ring which must be cut; l, position of incision in the lateral operation; dd, position of incisions in the bilateral operation.
[151] Diagram of muscles of membranous portion of urethra seen from the inside:—ss, section of os pubis; u, urethra; g, Guthrie's muscle, compressor urethræ; w, Wilson's muscle, levator urethræ.
[152] Boston Medical and Surgical Journal, May 29, 1879.
[153] Gross, Surgery, 6th ed. vol. ii. p. 736.
[154] Holmes's Surgery, vol. iv. p. 392.
[155] See Miller's Practice of Surgery, p. 212.
[156] Solly's Surgical Experiences, pp. 537, 538, etc.
[157] The Immediate Treatment of Stricture. By Bernard Holt, F.R.C.S. London. Third Edition, 1868.
[158] Holmes's System of Surgery, 1st ed. vol. iv. p. 403.
[159] Diagram of puncture of the bladder:—b, bladder; sp, symphysis pubis; sc, scrotum; b, bulb; pr, peritoneum; p, prostate; r, rectum; s, sacrum and coccyx.
[160] Med. Chir. Trans., vol. xxxv.
[161] Diagram of operation for phymosis:—a, glans penis; b b, mucous membrane exposed by retraction of the skin, and slit up; c d, sutures introduced and ready to be tied, uniting the skin and mucous membrane.
[162] To illustrate Teale's operation:—c, section of penis b, thread inserted uniting mucous membrane and skin; a, thread tied.
[163] Med. Times and Gazette, vol. xix. p. 354.
[164] Miller's System of Surgery, p. 1255.
[165] Miller's System of Surgery, p. 1256.
[166] Syme's Pathology and Practice of Surgery, p. 220.
[167] Holmes's Surgery, vol. iii. p. 573.
[168] Cross's Surgery, vol. ii. p. 273, 3d ed.
[169] Miller's System of Surgery, p. 1339; Holmes's Surgery, vol. iii. p. 571.
***END OF THE PROJECT GUTENBERG EBOOK A MANUAL OF THE OPERATIONS OF SURGERY***
******* This file should be named 24564-h.txt or 24564-h.zip *******
This and all associated files of various formats will be found in:
http://www.gutenberg.org/2/4/5/6/24564
Updated editions will replace the previous one--the old editions will be renamed.
Creating the works from public domain print editions means that no one owns a United States copyright in these works, so the Foundation (and you!) can copy and distribute it in the United States without permission and without paying copyright royalties. Special rules, set forth in the General Terms of Use part of this license, apply to copying and distributing Project Gutenberg-tm electronic works to protect the PROJECT GUTENBERG-tm concept and trademark. Project Gutenberg is a registered trademark, and may not be used if you charge for the eBooks, unless you receive specific permission. If you do not charge anything for copies of this eBook, complying with the rules is very easy. You may use this eBook for nearly any purpose such as creation of derivative works, reports, performances and research. They may be modified and printed and given away--you may do practically ANYTHING with public domain eBooks. Redistribution is subject to the trademark license, especially commercial redistribution.
THE FULL PROJECT GUTENBERG LICENSE
PLEASE READ THIS BEFORE YOU DISTRIBUTE OR USE THIS WORK
To protect the Project Gutenberg-tm mission of promoting the free
distribution of electronic works, by using or distributing this work
(or any other work associated in any way with the phrase "Project
Gutenberg"), you agree to comply with all the terms of the Full Project
Gutenberg-tm License (available with this file or online at
http://www.gutenberg.org/license).
Section 1. General Terms of Use and Redistributing Project Gutenberg-tm
electronic works
1.A. By reading or using any part of this Project Gutenberg-tm
electronic work, you indicate that you have read, understand, agree to
and accept all the terms of this license and intellectual property
(trademark/copyright) agreement. If you do not agree to abide by all
the terms of this agreement, you must cease using and return or destroy
all copies of Project Gutenberg-tm electronic works in your possession.
If you paid a fee for obtaining a copy of or access to a Project
Gutenberg-tm electronic work and
Comments (0)