The International Journal of Surgery, Volume 4

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1891

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Page 45 - ... extending from the anterior superior spine of the ilium to the spine of the pubic bone. FIG. 47. Tensor Vaginae Femoris...
Page 247 - The anterior surface of the lower fragment maintains nearly its normal relation to the plane of the upper fragment, thus preventing undue deviation of the foot from its normal position. "4.
Page 197 - ... advance of the joint of the fourth; and the joint of the fifth is considerably behind the joint of the fourth. " The fifth metatarsal joint is so much posterior to the fourth that •the base of the first phalanx of the little toe is brought on a line with the head and neck of the fourth metatarsal, the head of the fifth metatarsal being opposed to the neck of the fourth.
Page 20 - To the surprise of Dr. Warren and the other gentlemen present, the patient did not shrink, nor cry out, but during the insulation of the veins he began to move his limbs and utter extraordinary expressions, and these movements seemed to indicate the existence of pain ; but after he had recovered his faculties he said that he had experienced none, but only a sensation like that of scraping the part with a blunt instrument, and he ever afterward continued to say that he had not felt any pain.
Page 278 - ... from septic absorption is taking place. In children, operation must often be performed earlier than in adults, as with them the malady is more speedy in development, more fatal in tendency, and shows a greater proclivity to involve the general peritoneum. But let me emphasize the point that pain is not a reliable symptom (especially when opiates have been administered) from which to judge as to whether the patient is better or worse ; most weight should be given to the strength, temperature and...
Page 221 - The tumor behind the uterus in these cases is frequently mistaken for retroflexion of that organ, and the symptoms, those described, attributed to that displacement. 3. Ovarian enlargement which may be due to abscess or chronic ovaritis. I need only mention ovarian tumours, which all, I am sure, are agreed must be removed as soon as discovered.
Page 20 - This case is remarkable in the annals of surgery. It was the first surgical operation performed under the influence of ether. Dr. ' Warren had been applied to by Mr. Morton, a dentist, with the request that he would try the inhalation of a fluid which, he said, he had found to be effectual in preventing pain during operations upon the teeth. Dr. Warren having satisfied himself that the breathing of the fluid would be harmless, agreed to employ it when an opportunity...
Page 1 - The Diagnosis and Operative Treatment of Gunshot Wounds of the Stomach and Intestines." They abound in original suggestions and in records of experimental and operative work. But I cannot do more now than allude to two cases of intra-peritoneal rupture of the bladder which are brilliant examples of modern abdominal surgery. Intra-peritoneal rupture of the bladder has been almost always...
Page 152 - That in cases of varicocele the division of the main trunk of the spermatic artery, together with the veins, if the ordinary principles of surgical cleanliness be observed, is not only harmless to the testicle, but probably aids in the ultimate relief of the affection by diminishing the pressure of blood going to the testis at the time when almost all the returning veins are suddenly obliterated.
Page 27 - ... morning drop" or tripper faden in the urine, until the following facts have been established: 1. That after from two to four weeks of daily observation, the secretions from the urethra are found to be free from pus, and made up wholly of epithelial cells. 2. That no gonococci can be detected by the microscope, even after a purulent discharge has been established by the employment of irritating injections of corrosive sublimate or nitrate of silver. 3. That neither prostatitis nor stricture exists.

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