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A Textbook of Gynaecological Surgery

A Textbook of Gynaecological Surgery


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About the Book

This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1920 edition. Excerpt: ...routine be carried out, cystitis will not occur, or, occurring, will be of short duration. v. Septic infection of the abdominal wound.--One of the most notable things about convalescence from the operation is the comparatively large number of cases in which the wound fails to heal by primary intention. There may be a stitch-abscess, a little local suppuration, or sloughing of the whole wound. This latter is a grave complication. We have noted that it has always occurred in those cases in which the odour of the primary growth was markedly offensive. It is due to infection of the tissues by anaerobic organisms from the site of the primary growth, their power of resistance having already been lowered by the bruising caused by prolonged retraction of the wound edges. The muscular tissue is particularly affected, and the slough has the same odour and appearance as the sloughing carcinoma. It bears a. very close relation to, if indeed it is not the same thing in a modified degree, as gas-gangrene. We had a good many examples amongst our earlier cases, but of late years, owing to the shortening of the operation and careful protection of the wound-edges by sheet rubber, we have rarely seen it. The appearances are at first deceptive, the skin seeming to be healthy and the wound united. About the fourth day, however, a brownish offensive discharge is noticed, coming from the lower end of the wound, and on separating the edges, the fat, cellular tissue, and fascial and muscle edges _ are found in a condition of sphacelus. The patient is always more or less toxic during the acme of the process. The prevention of wound-infection is therefore an important matter. It is to be effected I. By procuring as complete a cleansing of the cervix and vagina as...


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Product Details
  • ISBN-13: 9781234077891
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 194
  • Spine Width: 10 mm
  • Width: 189 mm
  • ISBN-10: 1234077892
  • Publisher Date: 14 Jan 2013
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 354 gr


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