File:The Medical and surgical reporter (1893) (14596628690).jpg

Identifier: medicalsurgical691893phil (find matches)
Title: The Medical and surgical reporter
Year: 1858 (1850s)
Authors:
Subjects: Medicine Surgery
Publisher: (Philadelphia, Pa. : Crissy & Markley, Printers)
Contributing Library: Smithsonian Libraries
Digitizing Sponsor: Smithsonian Libraries

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th*is to twoor three glasses a day. He denies all his-tory of syphilis. His appetite is im-paired, tongue coated and bowels consti-pated. The urine is negative. There is a resistance in passing theoesophageal bougie (circumference 4.2centimetres) at ten and a half inches fromthe teeth, and at twelve inches the bougiewould not pass. Operation, August 2, 1893. An in-cision four inches long was made, begin-ning at the middle line and running tothe left, a fingers breadth below the bor-der of the ribs. The muscular fibres ofthe rectus were separated by the fingersand not divided. The liver was seen assoon as the peritoneal cavity was opened.Two fingers thrust in, however, very read-ily seized the stomach. This was brought 924 Orignal Articles. Vol. Ixix forward and outside the wound, the mar-gins being packed with gauze. A rubbertube, five inches in length (Size 25, Fr. The opening in the stomach was madetoward the cardiac extremity and the tubelay parallel to the external wound, its ex-
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catheter scale), was introduced into thestomach and infolded by two rows ofLembert sutures, after Witzels method. ternal end emerging near the median Ime.Three stitches were now inserted into thewalls of the stomach but not tied before December 16, 1893. Original Articles. 925 it was returned to the abdomen, theirneedles being left threaded. As soon asthe stomach was returned these needles

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