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Others besides myself have remarked upon this, so I am hoping that the kongoni wore this amused look even at times when he was not looking at me. His long, rakish horns are mounted on a pedicle that extends above his head, thus accentuating the droll length of his features. His withers are unusually high and add to the awkward appearance of the animal.
Victims who have been taken from the interior of provision burrows can live for a long time in spite of their wounds; they cannot, therefore, have received venom by inoculation. The author already quoted believes that the Pompilius seizes its captive by the pedicle which unites the abdomen to the cephalothorax, and that it triturates this point between its jaws.
Shifting of the bone has been done, e.g., by dividing a strip of the hard palate covered with its soft parts, parallel to the fissure in cleft palate, but leaving unsevered the bony attachments in front, and partially fracturing the pedicle, drawing the bony flaps together with sutures; or, when forming a new nose, by turning down with the skin and periosteum the outer table of the frontal bone, split off with a chisel, after cutting around the part to be removed.
Foreign bodies and an accumulation of ear wax are removed by means of instruments. A polyp is either cut off or its pedicle bound with a ligature, and it is allowed to shrivel. The next chapter is on the nose. Nasal polyps were to be grasped with a sharp tenaculum, cum tenacillis acutis, and either wholly or partially extracted.
One of these women, a secundipara, had gone two weeks over time, and had a large ovarian cyst, the pedicle of which had become twisted, the fluid in the cyst being sanguineous. May describes an ovariotomy performed during pregnancy at Tottenham Hospital.
It had no pedicle and was fixed, showing unequal consistency. At birth this tumor was about the size of a pigeon's egg. A diagnosis of dermoid cyst was made and two operations were performed on the boy, death following the second. The skeleton showed interesting conditions; the rectum and pelvic organs were natural, and the contents of the cyst verified the diagnosis.
A cicatrix was completed at the end of six weeks, and the patient, a woman of fifty-three, made an excellent recovery. Bastianelli discusses those cases in which portions of the liver, having been constricted from the general body of the organ and remaining attached by a pedicle, give rise to movable tumors of the abdomen. He records such a case in a woman of thirty-seven who had five children.
Terrier speaks of splenectomy for torsion or twisting of the pedicle, and such is mentioned by Sir Astley Cooper, who has found records of only four such cases. Conklin reports a successful case of splenectomy for malarial spleen, and in reviewing the subject he says that the records of the past decade in operations for simple hypertrophy, including malaria, show 20 recoveries and eight deaths.
No external enlargement was perceptible; but on introducing my hand into the mouth, a large polypus was found hanging from the velum palati into the pharynx, greatly obstructing the elevation of the epiglottis and the passage of food. After performing tracheotomy, to prevent suffocation, I passed a ligature around its pedicle in the way suggested by the old anatomist, Cheselden.
We see the flexed leaf assume the vertical under the awl-stroke which the insect applies to the pedicle, "when, partially deprived of sap, the leaf becomes more flexible, more malleable; it is in a sense partly paralysed, only half alive."
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