Surgical Operations

Surgical Operations

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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. 1912 edition. Excerpt: ...the base of the tongue; then the end of the tube is inserted into the oesophagus. As soon as this very simple prosthetic apparatus is fastened in place, the patient can eat and drink as a normal person. The apparatus is changed every week, or even at longer intervals. Of late, the introduction of any artificial larynx has been discarded almost altogether, because the patients learn very well how to whisper with air collected in the upper part of the oesophagus and pharynx, so loudly that they can be heard easily from a fairly considerable distance, several yards, for instance. 6. Operations on the Thyroid Gland Goitre Operations. An exact diagnosis is naturally absolutely necessary for the choice of the method of operating in every individual case. This diagnosis must take into account the following points: First, do we really have to deal with a goitre? Is this goitre of the diffuse hypertrophic type involving the whole gland, or of the colloidal variety, or do we have only separate nodules in an otherwise fairly normal thyroid? Are these nodes solid, or have they undergone colloidal degeneration? What part of the thyroid gland is most affected? Eventually, what respiratory disturbances does it cause? (Position of the larynx, bulging of the trachea in the laryngoscopy image, symptoms of stricture of the larynx due to pressure by one or the other half of the thyroid gland.) Is it a plunging or intrathoracic, or, finally, a vascular or Basedow goitre? But, above all, we must study the general condition of the patient, to see if he can stand such an operation, what his subjective disturbances are, especially as regards his respiratory organs and his nervous system. Under all circumstances, the heart must be examined most minutely. A digalen course...show more

Product details

  • Paperback | 266 pages
  • 189 x 246 x 14mm | 481g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 1236522680
  • 9781236522689