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The patient was a girl of eighteen, who had previously had perityphlitis, followed by abscesses about the navel and lumbar region. Two fistulae were found in the right loin, and were laid open into one canal, which, after partial resection of the 12th rib, was dilated and traced inward and upward, and found to be in connection with the stomach.
When a toe is affected, amputation is the best treatment, but in the case of a finger it is rarely called for. In the case of a metacarpal or metatarsal bone, sub-periosteal resection is the procedure of choice, saving the articular ends if possible. [Illustration: FIG.
When the neuralgia involves branches of two or of all three trunks, or when it has recurred after temporary relief following resection of individual branches, the removal of the semilunar ganglion, along with the main trunks of the maxillary and mandibular divisions, should be considered.
Patzki mentioned a private in the Sixth Cavalry, aged twenty-five, who recovered from a gunshot wound of the abdomen, penetrating the right lobe of the liver and the gall-bladder. Resection of the Liver. It is remarkable to what extent portions of the liver may be resected by the knife, cautery, or ligature, and the patient recover.
The various methods of controlling indirect fire by resection, base lines and observation from two or more points are, like the use of an auxiliary aiming point, useless in trench warfare. They are fine in theory and afford much interesting diversion on the training ranges, but when you go to war, why, it can't be done, that's all.
The best possible result being rigid ankylosis in a good position, it may be advisable to bring this about artificially by arthrodesis or resection. Operation is indicated when only one joint is affected and when the cord lesion is such as will permit of the patient using the limb.
An example or two will suffice to illustrate this. In the treatment of nasal polyps he says that whenever drug treatment of these is not successful, they should be removed with a snare made of hair. For fall of the uvula he suggests gargles, but when these fail he advises resection and cauterization.
The operative treatment is influenced by the extent of the disease in the soft parts overlying the bone, and consists in wide removal of the diseased tissues and resection of the bone, or in amputation.
When there is widespread suppuration in the marrow, and the shaft is extensively bared of periosteum and appears likely to die, it may be resected straight away or after an interval of a day or two. Early resection of the shaft is also indicated if the opening of the medullary canal is not followed by relief of symptoms.
But at night, with the lamp lighted and the little door of the stove open, and perhaps, when the dishes from supper had been washed, with Harmony playing softly, it took resolution on Peter's part to put on his overcoat and face a lecture on the resection of a rib or a discussion of the function of the pituitary body.
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