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The institutes and practice of surgery: being the outlines of a course of lectures .

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RM2AJ2TTX–The institutes and practice of surgery: being the outlines of a course of lectures . be detached duringthe operation of couching into the anterior chamber. Glcizealso, as well as Scarpa, Hey, and others, followed the samepractice. But it is chiefly owing to Saunders, Conradi,and Adams, that this mode of removing the cataract hasbeen brought to its present degree of perfection. There are two operations in use, each founded upon theabsorbent principle—the anterior and posterior. Thefirst, or the operation of Conradi, as it is usually called, ischiefly adapted to the soft or fluid cataract, and m

RM2AJ2XJA–The institutes and practice of surgery: being the outlines of a course of lectures . f axillary aneurism, yet it isto be lamented that the operation has very seldom succeed-ed. This may perhaps be ascribed to the operation beinggenerally delayed too long, or to the same disposition todisease in the vessel, which gave rise to the aneurism it-self. The operation, however, has proved, very satisfac-torily, that there is no want of collateral branches, andconsequently no danger of gangrene from want of a supplyof blood. The honour of having first successfully tied thesubclavian artery is due to Pr

RM2AJ2THM–The institutes and practice of surgery: being the outlines of a course of lectures . WmmEBSaSKSxSScffSVy. Cataract. 197 part, about a line anterior to its union with the sclerotic coat,carries the needle along the plane of the iris and through thepupil as far as the centre of the crystalline lens, the capsuleof which is first lightly scratched over its whole surface,then freely torn, after which the lens itself may be brokenup and some of its fragments brought by the needle intothe anterior chamber. It is highly important, in perform-ing this operation, to guard against wounding the iris; thes

RM2AJ2WH1–The institutes and practice of surgery: being the outlines of a course of lectures . tion of matter; andthat these consequences might have been prevented, per-haps, by a timely operation. But a great deal of judgmentwill be required to enable the surgeon to anticipate suchconsequences. The instruments that may be required for an operationon the skull, are two or three trephines, the largest aboutan inch in diameter, the second three quarters, and thethird half an inch; all of them provided with sharp teethwidely set, and with centre pins; Heyssaw, a lenticular,raspatory, trepan forceps, two el

RM2AJ2X1W–The institutes and practice of surgery: being the outlines of a course of lectures . Varicose Aneurism. Ill wounded by a bayonet, at tbe bend of tbe arm, during therebellion in Ireland, which, no doubt, transfixed the arte-ry and vein, for from that moment a tumour, possessingall the characters I have described, began to form, andgradually increased until it attained the size of a large egg.The veins communicating with it were uncommonly large,varicose, and very tortuous. Enlargements, also, of theartery, at the bend and middle of the arm and above theclavicle, were very manifest; all of which

RM2AJ2Y1C–The institutes and practice of surgery: being the outlines of a course of lectures . tomatous mat-ter. (See Plate I.) Treatment of Spina Ventosa. When the smaller bones, such as the phalanges of thefingers and toes, are affected with spina ventosa, a curemay sometimes be produced by moderate long continuedpressure directly over the tumour; at other times, I havesucceeded by making an opening into its cavity, and bystimulating injections, or by cutting instruments, excitingsuch a degree of irritation, as to cause it to fill up withgranulations. In this way I once cured an obstinate spinaventosa

RM2AJ2W1T–The institutes and practice of surgery: being the outlines of a course of lectures . rsons are most subject to cataract, though the diseasemay occur at any period of life; indeed new-born infantsare not exempt from it, and it has sometimes happened thatall the children of a numerous family have been born withcataracts in both eyes. Persons whose eyes are much ex-posed to vivid and reflected lights are said to be peculiarlyliable to cataract. The existence of cataract may be determined generally,by the following s)mptoms. In the commencement, thepatient is often sensible of a diminution of sigh

RM2AJ2TD6–The institutes and practice of surgery: being the outlines of a course of lectures . ke up any vessels, but the ooz 422 Amputation of the Fingers and Toes. ing of blood should be allowed to stop, after which the sur-geon may draw together the edges of the skin, so as tocover the end of the bone, and retain them by strips ofadhesive plaster, and a narrow roller. On Amputation, consult Potts Works, vol. 3—Heys Practical Ob-servations, edit. 3—Desaults Works, by Smith, vol. 1—/. Bells Princi-ples of Surgery, vol. 1—Larreys Military Surgery, by Hall, vol. 1 and2—C. Bells Operative Surgery, vol. 1—

The institutes and practice of surgery: being the outlines of a course of lectures .

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