Westminster Hospital Reports Volume 8 (Paperback)

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1893 edition. Excerpt: ...of wounds, and if it is carried out with strict attention to detail, there can be no question as to the extreme rarity of seeing wounds healing other than by the first intention. Most of the surgeons keep these cases of radical cure in bed from three weeks to a month after the operation (a point on which Mr. Barker lays great stress). This allows the new material thrown out to become firm, avoids strain, and the patients are then discharged without a truss or with only a very light support. Vide Mr. Barker's Paper, British Medical Journal, December 3rd, 1887. + Vide Paper by Mr. Watson Cheyne, Lanctt, Vol. ii., No. xix., 1892, paje 1,0110. I. Matilda C--, aet. 37, single, nurse. Admitted to Holland Ward on December 27th, 1892, under Mr. Cowell's care, with a femoral hernia. Had swelling in right groin 20 years, size of a walnut; never wore a truss. On the day prior to admission had sudden pain in right groin and she vomited. On admission, tumour in right femoral region irreducible, no impulse, painful, bilious vomiting; some collapse. Mr. Cowell cut down upon the sac. It contained small intestine in a recoverable condition. Constriction divided and gut reduced. The neck of the sac was ligatured with silk and the skin wound united with horsehair sutures. Wound dressed with the double cyanide gauze. This patient made an excellent recovery, the wound healed by the first intention, and she left the hospital a month after admission. II. Thomas S--, aet. 26, store-man. Admitted to St. Matthew Ward under Mr. Cowell's care, with a strangulated left inguinal hernia. States that on the morning of admission he was lifting some heavy weight when he noticed "sudden pain in the stomach." Two hours later began to vomit. Sent for a medical man, who...