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
In the above account, we have only to regret that the state of the
artery above the tumour, before and after the treatment, had not been
noticed. Perhaps this may be supplied by Dr. SOUCHIER, in the
commentary, which he proposes publishing on the above case.
48. _Protrusion and Wound of the Stomach._--Mr. TRAVERS, in the Edin.
Journ. of the Med. Sciences, for Jan. 1826, relates, that a female, aged
53, and the mother of _nineteen_ children, inflicted on herself a wound
in the abdomen, three inches in length, and in a transverse direction.
When admitted into St. Thomas' Hospital, at the expiration of six hours,
the greater part of the large curvature of the stomach, the arch of the
colon, and the entire large omentum, were protruded and strangulated in
the wound. The omentum was partially detached from the stomach, which
organ was wounded in two places; one, half an inch long through the
peritoneal coat; the other, a perforation of all the coats, admitting
the head of a large probe, and giving issue to a considerable quantity
of mucus. Patient faint; pain slight; pulse 102, and irregular; some
hiccup. A silk ligature was placed round the small puncture in the
stomach, and the displaced viscera returned, after enlarging the
external wound. This last was closed by the quill suture. Warm
fomentations and abstinence from food and drink enjoined. 2nd day, some
re-action; had been sick in the night from some drink given; is free
from pain; pulse 120; pain on pressure; an enema ordered. _Evening_, a
dose of castor oil, and twenty leeches to the abdomen. 3d, much fever;
V.S. [Symbol: ounce]xviij. and 20 leeches to the abdomen; bowels not
opened. 4th day, two stools; pulse 98; tension of the abdomen; three
more stools during the day. 5th, sutures removed; wound united, except
at its right extremity, where a serous fluid is discharged in
considerable quantities. On the 6th day, was allowed food, and on the
23d of Dec., about two months after the accident, was discharged cured.
49. _Oesophagotomy._--This operation has been objected to, not only on
account of the dangers attending its performance, but from the alleged
difficulty of promoting the union of the wound in the oesophagus; as
it is seldom at rest, the lips of the incision being often separated,
and the mucous coat adhering with difficulty under any circumstances.
Hence we are induced to notice the following case, in which the
operation was successfully executed on an inferior animal, by M. FELIX,
a veterinary surgeon of Bergelac. The account is published in the Feb.
No. of Le Propagateur des Sci. Med.
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