Medical War Manual Volume 7

Medical War Manual Volume 7

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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. 1918 edition. Excerpt: ...lacerated tissues in order to minimize urinary infiltration, but avoid any attempt at suturing of the bladder walls. Drain the perineal wound and introduce a permanent urethral catheter. If, following this technic, urinary infiltration should manifest itself, a cystostomy should immediately be performed. With a concomitant lesion of the rectum, a wide excision is necessary, in order to aliord free exit to all excreta. A cystostomy will usually be necessary in these cases. N on-penetrating Wounds of 'the Bladder.--Several cases have been reportedin which shell fragments or bullets were found embedded in the bladder wall, without penetration. The symptoms were those of a hematoma of the iliac fossa, with a loosening of the parietal peritoneum and a gradual extension into the pelvis on one or the other side of the bladder. Dysuria was the only functional disturbance noted. Treatment of these cases consists in free incision and drainage of the hematoma and removal of the projectile under fluoroscopic control. woumas or THE PERIANAL REGION AND EXTERNAL ormrxrm. Wounds of the perianal region, while infrequent, deserve special consideration on account of the severity of the infection which accompanies them. In addition to the common pyogenic organisms and anaerobes which gain access to the wounds, they invariably become infected by the colon bacillus group as well. These wounds are not infrequently associated with compound fractures of the sacrum, ischial tuberosities or pubis. Wounds of the external genitalia are frequently mutilating. They are also dangerous on account of injuries to the urethra, with extravasation of urine or urinary retention. ErIoLooY.+In a majority of cases these wounds are caused by grenades or bombs. During surprise...
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Product details

  • Paperback | 90 pages
  • 189 x 246 x 5mm | 177g
  • United States
  • English
  • black & white illustrations
  • 1236785029
  • 9781236785022