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A System of Practical Surgery Volume 2

A System of Practical Surgery Volume 2


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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. 1904 edition. Excerpt: ...of the ribs, an incision is made about 5 cm. long through the skin, fascia, and muscles down to the pleura, keeping as close as possible to the upper margin of the lower rib, so as to avoid injuring the intercostal artery. As a rule, the author prefers to puncture the pleura with a director. The fluid runs out in the groove immediately. After a little while he dilates the opening with a knife, forceps, or some other instrument and avoids making the opening larger than necessary to admit a large-sized drainage-tube. This should have several openings and need not be especially long, and should be held in place with a safety-pin. If it is desirable to wash out the cavity, a double tube may be put in place, consisting of two tubes tied together. If it is necessary to resect a rib, which is always to be recommended, the technic is about as simple as with intercostal incisions. An incision is made under the sixth or seventh rib for about 0 to 8 cm. The periosteum is removed upward and downward by means of an elevator and lifted from the posterior surface of the rib. After preparing the bone in this way, about 4 cm. is removed. The pleura is then divided exactly in the middle line of the rib. It is well to have the patient so placed that the opening in the chest is as low down as possible, so as to favor the exit of pus. Schede recommends resection of the ninth and tenth ribs outside of the long muscles of the back, because this gives better drainage subsequently. In many cases recovery takes place quite quickly, and the lung begins to perform its normal function again. It gradually distends and fills the pleural cavity and the normal relations are restored, although the pleurae are adherent. Konig observed that a lung began to functionate again after...


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Product Details
  • ISBN-13: 9781152043206
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 286
  • Spine Width: 15 mm
  • Width: 189 mm
  • ISBN-10: 115204320X
  • Publisher Date: 01 Jul 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 513 gr


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