North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826Various
History
North American Medical and Surgical Journal, Vol. 2, No. 3, July, 1826
Various
Medicine -- Periodicals
Dr. BLUNDELL closes this paper by saying, that since the substance of it
was read before the Medico-Chirurgical Society in 1823, Dr. RITZIUS, a
Swedish physician, had informed him in London, "that the complete
removal of the cancerous womb had been, to his personal knowledge,
performed on the Continent five times. All the patients recovered from
the operation," &c. "The womb was removed through the outlet of the
pelvis." p. 36.
Since we read Dr. BLUNDELL'S recommendations to the new operations, we
have been astonished to notice in the Ed. Med. and Surg. Journal, July,
1825, that a German surgeon had actually treated a case of ileus in the
manner recommended by Dr. B. It is from Hufeland's Journal of Feb. 1825.
After it was ascertained that an immoveable introsusception existed--
"The patient was placed on a convenient table. We examined
accurately the situation of the hardening, (_which marked the
diseased part_), and determined on opening the abdomen at the
outer edge of the right rectus muscle, about two inches above
the navel. After dividing the integuments with a common
scalpel, and making a small opening in the peritoneum, I
introduced my finger, and with a blunt pointed scalpel divided
the peritoneum, so as to make it correspond with the external
opening, which was between two and three inches. I then
besmeared my hand with oil, and carried it into the abdomen, in
order to feel for the indurated part. Scarcely had I introduced
my hand, than an attack of the pain came on, and a portion of
the intestines was protruded through the wound, which was
immediately replaced by my assistant. On continuing the
examination, I discovered in a transverse portion of the ileum,
a foreign substance, just where the hardened intestine was to
be felt. I drew the intestine out, in order to examine it more
minutely. The intestine was neither inflamed nor expanded, but
it contained in its cavity a soft coherent and compact mass,
which at its upper part was somewhat compressed, and thus felt
harder than the rest. So far as I could follow this part of the
intestine, this contained matter was to be felt: I also here
immediately detected an intus-susception, but in spite of all
my efforts I could not reach the commencement of it, so as to
bring it out. Two modes of proceeding were open to me, in order
to remove the intus-susception; either to make a transverse
incision in the integuments, from the right to the left side,
or to open the intestine itself. The last mode seemed to me the
most adviseable, both because the patient was already very much
exhausted, and because the operation would be sooner completed.
The intestine was opened at the end of the discovered
intus-susceptio, and immediately a part of the strictured
intestine came into view. I introduced my finger into the
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account