File:A treatise on the medical and surgical diseases of women, with their homopathic treatment (1880) (14774649954).jpg

Identifier: treatiseonmedica00eato (find matches)
Title: A treatise on the medical and surgical diseases of women, with their homopathic treatment ..
Year: 1880 (1880s)
Authors: Eaton, Morton Monroe. (from old catalog)
Subjects: Women
Publisher: New York, Philadelphia, Boericke & Tafel (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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st, of course,be treated according to the most prominent indications. Operations in Chronic Cases of Vesico-vaginal Fistula. Chronic cases have to be treated somewhat differentlyfrom the recent case. In chronic cases the fistula has be-come incrustecl with urinary deposits, and a sort of mucousmembrane has formed around the fistula. This must be cutaway, and a raw, fresh surface made before the sutures areinserted, in order to secure union by first intention, or evenrapid union by granulation. For this purpose the long-handled,curved-bladed scissors are the most convenient. After thepreparatory treatment previously mentioned in operations onthe recent case, and having cleared the parts from incrusta-tions and applied Calendula tvash till the vagina is in ahealthy condition, the patient having been for some timekept on her side with a catheter in the urethra to securethe free drainage of the urine from the bladder, that it maynot pass through the fistula and keep up the irritation. Due
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Fig. No. 53.—Bozemaxs Curved Scissors. attention should be given to the general health of the pa-tient, that there may be as much plasticity of the blood aspossible; the bowels kept open by injections of water andindicated homoeopathic remedies. The operator should have four reliable, intelligent assist-ants, and see to it that warm and cold water in suitable ves-sels is at hand, with towels, napkins, rags, sponges, hema-statics, needles, and other instruments he may require, not 524 EATON ON DISEASES OF WOMEN. forgetting Spts. Ammonia and Nit. Amyle (for the prompt useof these remedies may save a life, which otherwise might belost by the administration of anaesthetics). Every thing being in readiness, the patient may be placedunder an anaesthetic while in bed, and after anaesthesia ispartially induced, the operating table and instruments maybe brought in from an adjoining room, where they have pre-viously been prepared, together with the other conveniencesalready referred to. After

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