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American Practice of Surgery; A Complete System of the Science and Art of Surgery Volume 7

American Practice of Surgery; A Complete System of the Science and Art of Surgery Volume 7


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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. 1910 edition. Excerpt: ...1905, and April 5th, 1906. Another plan is to employ the Sauerbruch pneumatic cabinet which was devised in the Breslau Clinic under Mikulicz s direction. In this cabinet are confined the operator s and the patient s bodies; the latter s head projecting through an air-tight orifice and collar. A negative pressure of from 12 to 16 mm. of mercury is maintained within the chamber. In it Sauerbruch has performed extensive operations (involving both pleurae) on the chests of dogs, with no ill results to lungs or respiration. He has devised an oesophagotomy of the lower end of the organ by means of a thoracotomy and division of the diaphragm. Of the two inventions, the cabinet is probably the more practical, but the Fell-O Dwyer has the advantage of being more easily obtained and transported. (See also page 418 et seq. in the present volume.) Green, in Surgery, Gynazcology, and Obstetrics (Chicago, May, 1906), has gone into these methods thoroughly, but his experiments and the gathered examples seem to him to argue quite as much against the use of positive pressure as they do in favor of its use. If this be true--and, in the light of the above operations and many similar ones which might be adduced, the truth seems to be established--we may conclude that these methods of respiration are unnecessary where but one pleura is opened, and that possibly a positive pressure is actually prejudicial. In those cases in which both pleurae are opened the employment of such artificial aids is positively necessary. These remarks apply to adults. Children are much more disturbed by an open pleural cavity because the tissues of the mediastinum are less stable and make a poor barrier between the two sides. The preceding statements...


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Product Details
  • ISBN-13: 9781234090623
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 444
  • Spine Width: 23 mm
  • Width: 189 mm
  • ISBN-10: 1234090627
  • Publisher Date: 14 Jan 2013
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 789 gr


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