File:Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons (1907) (14785143365).jpg

English:
Shows Postoperative Facial Paralysis Following Removal of the Gasserian (Trigeminal) Ganglion; ( i) Line of Incision; (2) Area of Anesthesia

Identifier: postoperativetr00mors (find matches)
Title: Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons
Year: 1907 (1900s)
Authors: Morse, Nathan Clark. (from old catalog)
Subjects: Operations, Surgical. (from old catalog)
Publisher: Philadelphia, P. Blakiston's son & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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Text Appearing Before Image:
Fig. 92.—Osteoplastic Flap Turned Down, showing Dura Mater, MeningealArtery, Exposing Gasserian Ganglion, etc.—(Brewer.) it not only severs connection between the root and the second and thirddivisions, but also between the root and the first division as well. Itthen follows that the eye will be anesthetic, dryness, friction, and foreignbodies are not perceived, and abrasion, corneal ulceration, and loss ofthe eye may follow. (See Fig. 93.) Keen says to avoid this justbefore the operation is begun it is best to sew the eyelids together toprotect the ball, the sutures being removed on the third day. A celluloid MIm 1 1 1 WKOlS OPERATIONS. 327 shield, similar to the vaccination shield, and devised bv Keen, is thenfastened in front of the eye by clastic, and is worn for a week or more,the eye being syringed daily with a warm boric solution. For this reason, and also on account of the success of the operationlimited to the two main divisions of the fifth nerve and the ganglion,
Text Appearing After Image:
Fig. 93.—Shows Postoperative Facial Paralysis Following Removal of the Gasserian Ganglion; ( i) Line of Incision; (2) Area of Anesthesia.—Van Hook. (Journal S., G. and Obs., Vol. ii, No 1.) the operator is advised to let the ophthalmic trunk and the ganglionalone; if this advice be followed, no precautions are required as regardsthe eye. Postoperative shock may be considerable in these patients, whoare usually aged and exhausted by their suffering, and it has accountedfor nearly half of the deaths recorded. In overcoming it, adrenalin 328 POSTOPERATIVE TREATMENT. and strychnin injections, brandy and coffee enemas, and a warmth tothe general surface are the chief remedies. LAMINECTOMY. In closing the wound when the cord has been exposed some surgeonsprefer not to close the theca or outer covering of the cord, but leave itopen in order to prevent pressure. If carefully sutured, however, ittends to prevent loss of cerebrospinal fluid, and if left open cicatricialadhesions of the soft

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