Transactions of the Section on Laryngology, Otology and Rhinology of the American Medical Associaiton at the Annual Session Volume 20

Transactions of the Section on Laryngology, Otology and Rhinology of the American Medical Associaiton at the Annual Session Volume 20

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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. 1893 edition. Excerpt: ...with a view to guide others in the performance of operations upon human beings. This work must hold a place similar to that of pioneers who have gone forth to blaze out. the paths in an unexplored region and have set up danger signals to caution the unwary traveler who may come after them in the search for a route which shall lead to the goal of their expectations. Some quagmires and quicksands were encountered by us which may be avoided by others. All must allow that the fruit of our experience has thrown much light upon the intestinal labyrinth in which we groped without a guide to direct us at that period. My efforts were directed at the outset mainly to the establishment of a fistulous connection between the gall-bladder and duodenum by means of an elastic ligature passed through their approximated walls. This was surrounded with a circular or an oval continuous suture of catgut, so as to effect the immediate adhesion of the serous surfaces. But it was subsequently found that a single stitch of silk thread united the surfaces and ultimately cut its way through the two approximated walls so as to effect a communication from the gall-bladder into the duodenum. The difficulties encountered in ligating the common bile duct subsequently were the greatest obstacles to the final success of this operation, and would not be encountered in case of preexisting occlusion, which is the occasion of performing an operation on the human subject. These and other experiments, undertaken upon twenty-one dogs, are illustrated in the cuts accompanying my paper laid before the British Medical Association. It may be stated here that my conception of the procedures indicated were not limited to the means employed in these experiments, and it was distinctly...show more

Product details

  • Paperback | 796 pages
  • 189 x 246 x 40mm | 1,393g
  • Rarebooksclub.com
  • United States
  • English
  • black & white illustrations
  • 1236881753
  • 9781236881755