A Text-Book of Surgery Volume 2

A Text-Book of Surgery Volume 2

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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. 1897 edition. Excerpt: ...of cocaine, to produce local anaesthesia, the head of the patient is held by an assistant, and the tongue is depressed with the left forefinger or a tongue depressor. It is often, however, unnecessary to depress the tongue, because the Patlent gags in consequence of the introduction Fm. 2-_MMhieu, B Of the mstrument, and the throat 1s thus suifimently t0ua"1ot0me_ opened. The ring of the instrument is laid quickly _ about the hypertrophied tonsil and the latter is impaled by pushlng f0I'Ward the fork which is on the side toward the median line of the mouth. By means of this fork the tonsil is then drawn somewhat out of its niche. The impaled part of the tonsil which is thus drawn outward is then out off by pushing forward the cutting ring. This slight operation is performed very quickly, and even without the use of cocaine there is but little pain. The bleeding is arrested by gargling with cold water. A patient should never be sent away, however, until the surgeon has satisfied himself that the haemorrhage has stopped. The patient must be on his guard against draughts of air, dust, etc., for a few days, and must take only non-irritating fluid food. Secondary parenchymatous hsemorrhage sometimes occurs; the friends of the patient should be informed of this and the patient should be kept under observation during the day of the operation. The so much ' dreaded injury to the internal carotid, which lies outside the lateral wall of the pharynx, be hind the tonsils and behind the muscular layer consisting of the stylo-glossus and stylo-phar yngeus muscles, is impossible if tonsillotomy is performed in the right way. It is more likely to occur in case of ampu tation of the tonsils by means of a galvano-cautery loop. Even if the...show more

Product details

  • Paperback | 370 pages
  • 189 x 246 x 20mm | 658g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236836804
  • 9781236836809