Annals of Gynecology and Pediatry Volume 3 (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. 1890 Excerpt: ...that this was the cause of the sinus in this case. Dr. B. F. Baer: I have had a ligature come away only once. In that case I used drainage and I suspect that this had something to do withthe ligature coming away. I think that if the operation is done with perfect cleanliness and the wound closed, there will be little trouble with the ligature. I do not recall any case in which there was sufficient trouble from the ligature to require operation. Some patients will complain of a good deal of pain in the region of the stump for months, but this usually passes away. That ligatures become encysted I think there is no question. As has been said, the ends should be cut close to the knot. The remarks that have been made support me in my belief in regard to the irritant properties of the drainage tube. Most of these cases, if not all, have had drainage. I believe that drainage is used more frequently than it should be. Even if used, the tube should be removed after twelve or forty-eight hours. Dr. Longaker: Some time ago I did an abdominal section for the removal of the appendages, and used a drainage tube. This was followed by a fistula which continued a number of months. Finally one ligature was thrown off, and some months later a second ligature was thrown off. The fistula, however, refused to heal in spite of every measure adopted. The patient then consulted another gentleman. The fistula was curetted and I understand healed rapidly after injection of nitrate of silver. This case would seem to show that the sinus in all of these cases is not kept open by the presence of an infected ligature. Dr. J. Price: It is my impression that the use of the drainage tube, where the indications are perfectly char, will prevent some of these ligatures coming away. The presence...