Bismuth Paste in Chronic Suppurations; Its Diagnostic Importance and Therapeutic Value
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Home > Medicine & Health Science textbooks > Medicine: general issues > Bismuth Paste in Chronic Suppurations; Its Diagnostic Importance and Therapeutic Value
Bismuth Paste in Chronic Suppurations; Its Diagnostic Importance and Therapeutic Value

Bismuth Paste in Chronic Suppurations; Its Diagnostic Importance and Therapeutic Value


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1910 Excerpt: ...in rectal fistulae. First, it reveals diagnostic errors, and, second, it heals the majority of cases which have not responded to surgical treatment. I have encountered several cases in which the radiographs of the injected fistulae proved an incorrect diagnosis--they were sinuses resulting either from pelvic abscesses or tuberculous osteomyelitis of the hip or sacrum. These abscesses happened to rupture so near the anus that they were mistaken for a rectal fistula and operated upon, often with the disastrous result of adding an incontinence to the existing trouble, besides transposing the sinus opening from the skin into the rectum. Fig. 49 illustrates such a case. The therapeutic results depend in a great measure upon correct diagnosis and proper technic. A fistula which has its origin in a tuberculous focus in the sacrum and a sequestrum at its root can not be expected to heal by simply injecting the paste. The focus of the disease must first be eradicated. If tbe fistula has a counteropening in the rectum, the paste will flow into the rectum by the shortest route, and miss side branches if sitch exist. The therapeutic possibilities of the paste in rectal fistulse are illustrated in the following case: Rectal Fistulae, Forty Years' Duration; One Injection; Closure.--J. P., aged 68, developed in 1868 a pararectal abscess. Being a cowboy, and living in a rural district where a physician was not within reach, he performed his own surgical operation by plunging a jackknife into the abscess with the aid of a mirror. Within one year he had five sinuses around his anus, which discharged pus uninterruptedly for forty years. Although many times advised to undergo an operation, he refused, preferring daily dressing, to which he so accustomed himself that he did not...


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Product Details
  • ISBN-13: 9781130064643
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 52
  • Spine Width: 3 mm
  • Width: 189 mm
  • ISBN-10: 1130064646
  • Publisher Date: 01 Mar 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 109 gr


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