A Manual of Surgery Volume 3

A Manual of Surgery Volume 3

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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. 1900 edition. Excerpt: ... escaped the abscess wall must be united to the skin by a few points of suture. If the liver substance has to be cut through, the bleeding is profuse, but is readily arrested by sponge pressure. When the abscess encroaches on the pleural cavity this is usually obliterated, and portions of the lower ribs may be removed if necessary; if the pleural cavity is not obliterated the two layers of pleura should be sutured and the abscess opened in two or three days. The healing process is tedious owing to the want of full contraction, and a persistent sinus may result necessitating further treatment. HYDATIDS OF THE LIVER Morbid anatomy.--Hydatid cyst is more common in the liver than in any other part of the body, and is usually situated in the right lobe. The cysticercus (the embryo of tania echinococcus--a tape-worm found in dogs and sheep) enters the alimentary canal, is taken up by the blood stream, and where it lodges produces the hydatid cyst. The cyst consists of a true parasitic, enclosed in an adventitious or false cyst wall formed of fibrous tissue resulting from chronic irritation. The true cyst wall, which collapses and curls up when removed, is gelatinous in appearance and composed of seven or eight layers and a delicate inner layer; this lamination is characteristic. The true cyst is easily lacerable and readily separates from the adventitious wall, which may be very dense or even calcareous. Hydatids contain a clear, watery fluid, sp. gr. 1010, in which sodium chloride is present. The cyst may be "barren," but more usually the inner surface is studded with brood-capsules containing clusters of minute scolices armed with hooklets which, whin the fluid is withdrawn, separate from the wall and are seen floating in it as minute white...
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Product details

  • Paperback | 278 pages
  • 189 x 246 x 15mm | 499g
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236548817
  • 9781236548818