The Retrospect of Medicine: Being a Half-yearly Journal, Containing a Retrospective View of Every Discovery and Practical Improvement in the Medical Sciences, Volume 66

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Simpkin, Marshall, and Company, 1873 - Medicine

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Page 208 - The very great importance to surgical practice which the introduction of any plan for the treatment of strangulated hernia implies, induces us to refer to a method suggested by Mr. Bryant, in a clinical lecture delivered at Guy's Hospital, in the month of February of this year.
Page 32 - I do not, of course, refer to slight cases of fever, pneumonia, &c., in which no stimulant whatever may be required, but to very severe cases of disease only. 1. In what appeared hopeless cases, as much brandy as the patient could be made to swallow (an ounce and a half to two ounces in an hour) has been given for several hours in succession, and then as much as thirty ounces a day for several days, not only without producing the slightest intoxication, vomiting, or headache, but the treatment has...
Page 172 - It appears, then, that by applying a ligature of animal tissue antiseptically upon an artery, whether tightly or gently, we virtually surround it with a ring of living tissue, and strengthen the vessel where we obstruct it.
Page 369 - And a woman having an issue of blood twelve years, which had spent all her living upon physicians, neither could be healed of any, 44 Came behind him, and touched the border of his garment: and immediately her issue of blood stanched.
Page 314 - ... time after, and then it was not astonishing to see them reappear. But if the treatment were continued five or six months, having regard at the same time to sustaining the constitution in general, relapses would be found to be infrequent. He observed very few cases of relapse, and there would not be many when the treatment was well kept up — when the patient had patience enough, and the physician sufficient courage. After six months of that treatment and no symptoms reappearing, then the treatment...
Page 190 - ... into resistance at the least painful pressure. The heat of the bath, and bed, and recumbent rest, may remedy all this ; and the hernia may become easily reducible, or may even reduce itself. It is commonly advised to have the bath so hot, and to keep the patient so long in it, that he may be very faint ; and during this faintness to attempt the reduction while the patient is still in the bath. I more than doubt the prudence of this advice. It seems to me better to let the patient be simply soothed...
Page 213 - I have found it of little use to have the patient force down his piles before the anaesthetic is administered, inasmuch as they are very apt to slip into the bowel again as the sphincter becomes relaxed ; but I prefer that the patient should rinse out the bowel by an enema of tepid water, before he takes his place upon the couch or table. This latter should be firm, narrow, of convenient height, and in a good light. As soon as the patient is fully under the influence of the anaesthetic, I have him...
Page 194 - ... these risks must be accepted. A patient must not be allowed to die with a strangulated hernia, if by any means whatever the strangulation can be relieved ; and you must not be averted from the operation by any consideration of the number of deaths that follow it. The deaths after the operation may be 50 per cent.
Page xxxiii - Walter W. Skeat, Professor of Anglo-Saxon in the University of Cambridge. .... But we have probably said enough to convince the reader that this is not only one of the most useful but one of the most interesting books that have ever been offered to the student of the English language.
Page 192 - Hence they are most useful in the hernise of which the difficulty of reduction is chiefly due to muscular resistance; in the recent, or in the recently much enlarged ; in the inguinal more than in the femoral, and in these more than in the umbilical ; in the painful more than in the painless.

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