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Updated: June 17, 2025
The same spirits which in their superior progress would conquer a kingdom descending upon the anus, conclude in a fistula.
In a case studied by Fevrier the exploration of a lateral pharyngeal fistula produced by the introduction of the sound violent reflex phenomena, such as pallor of the face and irregular, violent beating of the heart. The rarest of the lateral class is the preauricular fissure, which has been observed by Fevrier, Le Dentu, Marchand, Peyrot, and Routier.
There is another old record of a gastric fistula through which some aliment passed during the period of eleven years. Archer tells of a man who was stabbed by a negro, the knife entering the cartilages of the 4th rib on the right side, and penetrating the stomach to the extent of two inches at a point about two inches below the xiphoid cartilage.
As a rule, the fistula is dilated by a tent of alder-pith, mandragora, briony or gentian, the lining membrane destroyed by an ointment of quick-lime or even the actual cautery, and the wound then dressed with egg-albumen followed by the unguentum viride. Necrosed bone is to be removed, if necessary, by deep incisions, and decayed teeth are to be extracted.
He slashes away at a terrible rate, they say, when he gets hold of the subject of fistula in its most frequent habitat, but I never saw him do more than look as if he wanted to cut a good dollop out of a patient he was examining.
I should particularly avoid soiling this page with an account of the operation for fistula which Courcillon, only son of Dangeau, had performed upon him, but for the extreme ridicule with which it was accompanied.
It need scarcely be said, that scrupulous care and cleanliness are indispensable factors in promoting recovery, therefore, the colon must be kept absolutely clean, by the use of the "Cascade" and the parts `thoroughly bathed with warm water, at least, once daily, and the pipe of the fistula should be thoroughly cleaned three times a day, with the following solution: To half a cupful of warm water, add twenty- five drops of fluid hydrastis and one teaspoonful of finely pulverized willow charcoal.
Pus fistula is the characteristic lesion present, and it is the result of a suppurative inflammation of the tissues in the region. The abscess cavity or cavities are usually deep, and may involve the ligaments and vertebrae. Bruises or contusions are the most common causes. The prominence of these regions predisposes them to injury in the stable, or when rolling on rough or stony ground.
He brought his father nothing but a carefully-folded and sealed letter, which Janus Dousa, with a mischievous smile, had given him on behalf of the citizens of Leyden for General Valdez, and which contained, daintily inscribed on a large sheet, the following lines from Dionysius Cato: "Fistula dulce canit volucrem dum decipit auceps."
Now her passion waxing ever more ardent for Bertrand, as she learned that he was grown a most goodly gallant, tidings reached her that the King of France, in consequence of a tumour which he had had in the breast, and which had been ill tended, was now troubled with a fistula, which occasioned him extreme distress and suffering; nor had he as yet come by a physician that was able, though many had essayed, to cure him, but had rather grown worse under their hands; wherefore in despair he was minded no more to have recourse to any for counsel or aid.
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