The International Text-Book of Surgery V.2
The International Text-Book of Surgery V.2
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A tumor of the right lobe can often be grasped with one hand in the loin and the other in front, and moved about freely ; under which circumstances it may feel exactly like a kidney, as in my case.
Operative Technic— In the majority of the cases reported the liver- substance was cut with the thermocautery and the large vessels tied.
In a few cases the knife or scissors were used. Keen enucleated the tumor with his finger-nail. In several cases the stump was strangu- lated with an elastic ligatu...re or tied in sections with silk. Gauze pressed against the wound was often effective in stopping the general oozing.
Israel, in operating on a large sarcoma, found that gauze pressure did not control the bleeding ; he therefore wound an elastic tube twice around the whole right lobe, which completely stopped the hemor- rhage. He then passed three compressing ligatures of stout .silk through the whole thickness of the right lobe. This drew the tissues pretty firmly together.
There are four methods of treating the liver wounds.
What to read after The International Text-Book of Surgery V.2?
You can find similar books in the "Read Also" column, or choose other free books by Warren, John Collins, 1778-1856. Cn to read onlineMoreLess
To quickly assess the difficulty of the text, read a short excerpt:
A tumor of the right lobe can often be grasped with one hand in the loin and the other in front, and moved about freely ; under which circumstances it may feel exactly like a kidney, as in my case.
Operative Technic— In the majority of the cases reported the liver- substance was cut with the thermocautery and the large vessels tied.
In a few cases the knife or scissors were used. Keen enucleated the tumor with his finger-nail. In several cases the stump was strangu- lated with an elastic ligatu...re or tied in sections with silk. Gauze pressed against the wound was often effective in stopping the general oozing.
Israel, in operating on a large sarcoma, found that gauze pressure did not control the bleeding ; he therefore wound an elastic tube twice around the whole right lobe, which completely stopped the hemor- rhage. He then passed three compressing ligatures of stout .silk through the whole thickness of the right lobe. This drew the tissues pretty firmly together.
There are four methods of treating the liver wounds.
What to read after The International Text-Book of Surgery V.2?
You can find similar books in the "Read Also" column, or choose other free books by Warren, John Collins, 1778-1856. Cn to read onlineMoreLess
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