File:Diseases of the ovaries - their diagnosis and treatment (1872) (14778830531).jpg

Identifier: disevarie00well (find matches)
Title: Diseases of the ovaries : their diagnosis and treatment
Year: 1872 (1870s)
Authors: Wells, Spencer, 1818-1897
Subjects: Ovaries Gynecology Ovaries
Publisher: London : J. & A. Churchill New York : D. Appleton & Co.
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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ly it to the pedicle. He improved the instrument by makingit broader, by adding a guard to prevent slipping of the cautery,and an ivory shield to protect the soft parts from the action ofthe heated clamp. His results were so successful that I triedthe method ; and, after a case or two, curved the handles, alteredthe joint, substituted a better non-conductor for ivory, andused the galvanic cautery and the gas cautery, instead of thecommon irons. The only improvement upon this instrumentwhich I have seen is one by Dr. Skoldberg, of Stockholm, whichmakes the action of the blades more parallel. Pratt carried outthe same idea for me many years ago, and Dr. Braxton Hickshad also contrived a parallel bladed cautery clamp, which I usedwith fair success. The cauterising irons used by Mr. Baker Brown were theordinary conical irons, with a sharp edge, used in firing joints.With these instruments made red hot in the fire, he divided thepedicle, as shown in this cut; the tumour being held up by an
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BY CAUTERY AND ECRASEUR. 341 assistant. This was a tedious and troublesome process; and Ifound that the same end was attained by cutting away the cysthalf-an-inch or so from the clamp, and then burning away all thetissue that projected beyond the surface of the clamp. Flatirons answered this purpose better than the conical ones; andnothing answers better than the common spatulas used bydruggists in spreading plasters. The galvanic cautery answersequally well, and when it is inconvenient to have a fire inthe room, would be generally preferred, if it were possiblealways to secure efficient battery action ; but as this is uncertain,the gas cautery of Nelaton, either simple, or with the additionof the blow-pipe and the platinum capsules devised by thelate Mr. Alexander Bruce, answers equally well; and Meyeronce made for me a platinum cautery, with a spirit lamp toheat it, which was also as satisfactory in its action as the hotirons. I believe it is of very little consequence which of thec

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