File:A general system of surgery in three parts - Containing the doctrine and management, I. Of wounds, fractures, luxations, tumours, and ulcers, of all kinds. II. Of the several operations performed on (14587191237).jpg

Identifier: generalsystemofs00heis (find matches)
Title: A general system of surgery in three parts : Containing the doctrine and management, I. Of wounds, fractures, luxations, tumours, and ulcers, of all kinds. II. Of the several operations performed on all parts of the body. III. Of the several bandages applied in all operations and disorders. The whole illustrated with thirty eight copper-plates, exhibiting all the operations, instruments, bandages, and improvements, according to the modern and most approved practice : to which is prefixed an introduction concerning the nature, origin, progress, and improvements of surgery : with such other preliminaries as are necessary to be known by the younger surgeons. Being a work of thirty years experience
Year: 1745 (1740s)
Authors: Heister, Lorenz, 1683-1758 Mynde, J
Subjects: Surgery, Operative Surgical instruments and apparatus Bandages and bandaging Surgery General Surgery Bandages
Publisher: London : Printed for W. Innys in Pater-noster Row ... (and four others)
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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andoccafion a Fever, attended with Loofenefs, great Difficulty of Breathing,Faintings, or cold Sweats, which are the ufual Forerunners of Death •, and im-port, that this Operation will net be attended with its due Succefs ; and thattherefore the Surgeon may hereby gain Reflections, but no Credit. But if theDiforder be yet recent, and the Patient ftrong, he may then fafely venture onthe Paracentefis of the Thorax, which may be perforated without any Dangerby a prudent Surgeon, who divides only the Skin, Fat, intercoftal Mufcles,and Pleura,what Par*- II. Two Things are neceflary to be confidered before the Operation ; Ist inwV/wa°~ which Side of the Thorax the Matter is contained.; and 2dly, what Part of thatbe pcforat- Cavity is mod proper to be perforated. In order to difcover the firft, the Sur-geon fhould attend diligently to, (1) in which Side the Patient has before hadany Pain or Inflammation : (2) In what Part he perceives the Weight and Fluc-tuation r<rii(. p.18. Tab.xxiu.
Text Appearing After Image:
Se&. IV. Paracentejts i?//^ Thorax, 19 tuating of Matter : (3) On which Side ke can lye eafier than on the other, forthat is ufuaily the Side affected ; the Perion not being able to lye on the foundSide, becaufe of the Weight or Preffure of the Matter on the Mediaftinum :(4) And laftly, he may generally perceive fome Tumor and inflammatory Heatin the Side affected. Having difcovered which Side of the Thorax is to beperforated, the Operation may then be fafely performed between the fecondand third of the fpurious Ribs on the left Side, or between the third and fourthon the right Side, counting from below upwards, fo as to be about five or fixFingers Breadth from the Spine of the Back, and as much below the Angle ofthe Scapula: For if the Thorax be perforated higher, die peccant Matterlodged in the Bottom of its Cavity will not be eafily difcharged ; and if theOperation be made lower, there is Danger of wounding the Diaphragm, efpe^cially on the right Side, where it adheres higher u

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