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The Prophylaxis and Treatment of Internal Disease; Designed for the Use of Practitioners and of Advanced Students of Medicine

The Prophylaxis and Treatment of Internal Disease; Designed for the Use of Practitioners and of Advanced Students of Medicine


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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: ...attacks, by complications which cause suffering, or by reduction in general health. The indications and their contraindications are put forth by Kehr as follows: 1. When the attacks are mild and entire absence of sensitiveness occurs during latent intervals, operation should not be done. 2. In acute obstructions of the ductus choledochus, when accompanied by cholecystitis or by severe general symptoms, operation should take place. 3. When the attacks are sufficiently frequent to interfere with occupation or the pleasure of living, or when they produce marked disturbance of general health, the operation is indicated. 4. Operations are indicated in dropsy, empyema of the gall bladder, and pericholecystic abscesses. 5. Gallstone patients who are morphinists must under all circumstances be operated on. 6. The sequelae of cholelithiasis, purulent cholecystitis, abscess of the liver, perforation, subphrenic abscess, severe pyloric and duodenal stenosis, and often gallstone ileus, must all be treated surgically. Diabetics and patients with arteriosclerosis or chronic diseases of the lungs and heart should not be operated on, if it can be avoided. Fat men do not bear the operation well. To these indications may be added one that is imperative: when there are symptoms indicative of danger to life, operation should be performed, if it be only an exploratory one to determine the cause. Delay here is inexcusable. It may be well to give Kehr's statistical table as to mortality, as it includes the nature of the operations in gallstones: Per Cent 237 conservative operations (cystotomies, cystendyses, cysti cotomies), 5 deaths 2.1 161 cystectomies with 5 deaths 3.1 137 choledochotomies, with hepaticus drainages, 9 deaths... 6.5 114 simultaneous operations on the stomach, i...


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Product Details
  • ISBN-13: 9781150630835
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 392
  • Spine Width: 21 mm
  • Width: 189 mm
  • ISBN-10: 1150630833
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 699 gr


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