The Practitioner. May, 1869.: A Monthly Journal of TherapeuticsVarious
Science
The Practitioner. May, 1869.: A Monthly Journal of Therapeutics
Various
Medicine -- Periodicals; Therapeutics -- Periodicals
=Catgut in the Ligature of Arteries.=—In a communication to the
_Lancet_, Professor Lister, after giving numerous pathological details,
refers to the practical importance of catgut as a ligature. He states
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. This
antiseptic animal ligature consists of catgut steeped in carbolic acid
and oil. And with such a ligature Professor Lister says he should now
“without hesitation undertake ligature of the innominate, believing it
to be a very safe proceeding.” He thus expresses himself as to the
necessary qualities of the ligature:—“The method which I have found to
answer best is to keep the gut steeped in a solution of carbolic acid in
five parts of olive oil, with a very small quantity of water diffused
through it.” A larger proportion of the acid would impair the tenacity
of the thread. If a mere oily solution is employed, the gut remains
rigid, the oil not entering at all into its substance. But a very small
quantity of water, such as the acid enables the oil to dissolve, renders
the gut supple without making it materially weaker or thicker. And,
curiously enough, the presence of this small amount of water in the oily
solution gradually brings about a change in the gut, indicated by a deep
brown colour; after which it may be placed in a watery solution for a
long time without swelling, as a portion prepared in a simple oily
solution does. This is a great convenience; for an oily solution is
unpleasant to work with during an operation, and exposure to the air
soon renders gut suppled with water rigid from drying. But when it has
been treated in the way above recommended, it may be transferred to a
watery solution at the commencement of an operation, and so kept supple
without having its strength or thickness altered. “For tying an arterial
trunk in its continuity, catgut as thick when dry as ordinary purse-silk
will be found best. But for ordinary wounds, where, if one ligature
happens to break, another can be easily applied, much finer kinds may be
employed, and are convenient from their smaller bulk.” (See _Lancet_,
April 3.)
=The Advantages of Tracheotomy.=—Mr. T. R. Jessop corroborates the views
expressed in our last Number by Mr. A. E. Durham. He gives some very
remarkable cases, showing the great usefulness of the operation. Indeed,
one case was a veritable resuscitation of life. (Ibid.)
=Arsenic a Cause of Shingles.=—The very important problem as to whether
arsenic, when continuously administered, is productive of shingles, is
again discussed by Mr. Hutchinson. Mr. Hutchinson does not assert the
fact to be more than a coincidence, but he relates several very
interesting cases in which the prolonged use of arsenic was followed by
shingles. (See _Medical Times_, April 17.)
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