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
A _Cow_ was threatened with immediate suffocation from the lodgment of a
potato in the oesophagus. It had shortness of respiration, an
incapacity of swallowing even its saliva, which flowed from the mouth,
was in great distress, and covered with a cold sweat. Being properly
secured in a horizontal posture, an external incision was made on the
inside of the sterno-mastoid muscle, and a cautious dissection practised
until the tumour was completely exposed. The oesophagus was divided by
"an incision extending the whole length of the foreign body, which was
extracted without any force, _which is almost always fatal_. I
immediately made two close sutures; and also two others in the skin, on
each side, adapting to them two pieces of packthread, more easily to fix
the dressings. I dressed the wound with brandy, filling the opening with
hemp soaked with brandy." The animal was kept on very little food or
drink. On the third day the wound was dressed for the first time, and a
digestive ointment applied.
In the course of the 2nd week, the cicatrization of the oesophagus
occurred; the part was dressed with lint; and by the 20th day after the
operation, the animal was quite restored.
This case would have been more useful, if more precision had been
employed in describing the dressing and subsequent treatment of the
wound. It would seem that the sutures were passed through the parietes
of the oesophagus only, and that the external wound was kept open by
being filled with tow. Certainly, union by the adhesive inflammation
ought to have been attempted in all parts of the wound; but whether
sutures in the oesophagus are advantageous, or whether the uniting
bandage be preferable, is not so easily determined. In the two cases
described in 3d vol. of the Mem. de l'Acad. de Chirur. the uniting
bandage was alone employed, and with success.
50. _Retention of Urine, caused by a Stricture of the Urethra, relieved
by a forcible but gradual Injection._--The editor of Le Propagateur des
Sci. Med. in the No. for Feb. 1826, introduces the following case, by
observing, that it reflects great honour on M. AMUSSAT, and that his
discovery merits the greatest praise. M. D... aged 70 years, of a
plethoric constitution, had suffered about 30 years before from three
attacks of gonorrhoea; since which period he has had a difficulty in
urinating, and can never discharge more than one or two ounces of urine
at a time.
Public-domain text, read in full here on John Shaqi.
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