Observations in clinical surgery by James SymeObservations in clinical surgery by James Syme

Observations in clinical surgery

byJames Syme

Paperback | February 4, 2012

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1862. Excerpt: ... XXXV. THE KEMEDY OF STRICTURES BY EXTERNAL INCISION. A. L., 52 years of age, from Dundee, was admitted into the hospital on the 29th of October last, suffering from the effects of a stricture in his urethra. It had existed five or six years, and become progressively more troublesome, until it rendered micturition extremely painful, and prevented the introduction of instruments. At length the scrotum and perineum swelling, with much induration, it was thought proper to send the patient here. On his way the enlargement greatly increased, so as to extend above the pubes, and when he arrived no time was lost in making incisions for the escape of urine, which was evidently extravasated. These openings being free, and in the middle line, allowed the fluid such ready egress as prevented the sloughing that would otherwise have been occasioned, and the swelling speedily subsided. I then proceeded to remedy the stricture, and soon succeeded in passing bougies through the contracted part of the canal, which was immediately behind or below the scrotum, and carried on the dilatation until instruments of the full size could be introduced. Under this treatment all the wounds healed, except one in the scrotum, which was surrounded by very indurated texture, and allowed more than half of the water to escape. After contending in vain against this obstacle to recovery for several weeks, I tried the effect of keeping a catheter in the bladder, but without any advantage, and should then have felt much at a loss if limited to the means that were in use before I adopted the method of external incision. On the 10th of January a grooved director hav ing been passed through the stricture, I cut freely through the thickened and condensed textures, and then ran the knife fairly thro...
Title:Observations in clinical surgeryFormat:PaperbackDimensions:44 pages, 9.69 × 7.44 × 0.09 inPublished:February 4, 2012Publisher:General Books LLCLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0217025986

ISBN - 13:9780217025980