File:The operating room and the patient; a manual of pre- and post-operative treatment (1913) (14799588713).jpg

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English:
Compression bandage for epididymitis

Identifier: operatingroompat00fowl (find matches)
Title: The operating room and the patient; a manual of pre- and post-operative treatment
Year: 1913 (1910s)
Authors: Fowler, Russell Story, 1874-1959
Subjects: Operating Rooms Patients
Publisher: Philadelphia,: Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ther the packing nor the tubes are reintroduced. For thefirst few days the urine escapes through the perineal woundnecessitating change of dressing sufficiently often to keep thepatient comfortable. Infection is prevented by gently irrigatingthe wound several times daily with boric acid solution. Infec-tion rarelj^ occurs even when the urine is foul. Urine soon beginsto pass through the natural channel and by the end of three weeks,often sooner, the perineal fistula is healed. If healing is delayedthrough unhealthy granulation the wound is curetted or a OPERATIONS UPON THE BLADDER 521 thorough application of the nitrate of silver stick used twiceweekly. General Treatment.—That the tissues receive fluid is all impor-tant. Saline is administered by hypodermoclysis 750 to 1000 c.c.while under anesthesia. Murphy proctoclysis is given and con-tinued while the patient is in bed. Fluid, especially water, isforced by mouth; two quarts of water by mouth at least shouldbe insisted upon daily.
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Fig. 198.—Clietwoods compression bandage for epididymitis in the sub-siding stage. The diseased organ is isolated with its scrotal coverings ^ndenveloped with a piece of thin rubber dam, fitted to the parts by stretching.This is held in place by strips of adhesive plaster. (Fowlers Surgery.) The position of the patient is changed frequently to avoidhypostatic pneumonia. He is propped up in bed after removal ofthe tubes and is placed in a wheel chair on the second day. Assoon as his strength permits he is encouraged to take a few stepsand is wheeled out of doors. Diet is increased rapidly. Urotropin is given, seven and one-half grains three times daily to control cystitis. 522 OPERATING ROOM AND THE PATIENT The passage of sounds is unnecessary unless there has beenconsiderable traumatism to the urethra. A final examination ofthe bladder is made to determine its condition and the presenceof residual urine. Post-operative hemorrhage rarely occurs. It is controlled byrepacking the wound

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  • bookid:operatingroompat00fowl
  • bookyear:1913
  • bookdecade:1910
  • bookcentury:1900
  • bookauthor:Fowler__Russell_Story__1874_1959
  • booksubject:Operating_Rooms
  • booksubject:Patients
  • bookpublisher:Philadelphia___Saunders
  • bookcontributor:Columbia_University_Libraries
  • booksponsor:Open_Knowledge_Commons
  • bookleafnumber:518
  • bookcollection:medicalheritagelibrary
  • bookcollection:ColumbiaUniversityLibraries
  • bookcollection:americana
Flickr posted date
InfoField
29 July 2014

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