File:Surgical differentials (1904) (14582635419).jpg

Identifier: surgicaldiffere00maur (find matches)
Title: Surgical differentials
Year: 1904 (1900s)
Authors: Maury, John W. D. (from old catalog)
Subjects:
Publisher: (n.p.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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ade by Dr. Cole at RooseveltHospital, shows the nature of these diverticulae very beauti-fully. The outline was made clear by causing the patient toswallow about two ounces of carbonate of bismuth. Theesophagus, on account of its being, collapsed antero-pos-teriorly, appears in this side view as a line. These diverticulae are often the result of stricture. Dunham has recently shown that almost every stricturewhich is of such nature that the patient is not prevented by itfrom swallowing water, can be passed by allowing a thread tofloat in the water and by then swallowing the liquid and theline. In strictures of the deep esophagus, which are beyondthe reach of external esophagotomy, and as a preparatory toAbbes Fish Line Treatment, this demonstration is of greatimportance. The Italians have been the pioneers in Cardiorrhaphy. As-tonishing success has met efforts to suture the heart wall. Itdepends upon the introduction of interrupted sutures which aretied during diastole. 116 ESOPHAGUS.
Text Appearing After Image:
ESOPHAGUS Fig. 24 ESOPHAGEAL DIVERTICULUM. (authors case) Given off opposite the 6th cervical vertebra. (The patient coughedup bismuth for two weeks after this radiogram was made.) TREATMENT OF EMPYEMA. 117 Of operations which necessitate a trans-pleural route, byfar the most frequent are those for the relief of empyema.They may be enumerated as follows: (i) Paracentesis, (2)Resection of One or More Ribs, (3) Estlanders Operation, (4)Schedes Operation. (This last might be spelled Shady for itis highly doubtful if the patient survive it), (5) Fowlers Oper-ation. If the collection of fluid in the pleura be localized and ofsuch extent as to produce a bulging; a condition uncommonbut not by any means unknown, the needle should, after mostscrupulous sterilization, be driven in over the most prominentpart of the swelling. If, however, as is more frequently thecase, the exudate is not loculated. a point of election for para-centesis is just below the scapula. This of course is a verymovable

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