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The treatment consists in thorough eradication of the parasite by operation. The bone is laid open and scraped or resected according to the extent of the disease, and the raw surfaces swabbed with 1
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.
I said that with his venomous cigar going I would quickly have to go and see about something or else have my olfactory nerve resected, which was a grand scientific phrase I had brightly picked out and could play with one finger. It means having something done so you can't smell any more.
An incision eight inches long was made over the 4th rib, six inches of the rib were resected, the bleeding intercostal artery was ligated, the blood was turned out of the pericardial cavity, this cavity being irrigated with hot water. The wound in the pericardium, which was two inches long, was sutured and the external wound was closed. Recovery followed.
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.
Bloodgood advises the use of Esmarch's tourniquet, and that the curetting be followed by painting with pure carbolic acid and then rinsing with alcohol; a rod of bone is inserted to fill the gap. In advanced cases the segment of bone is resected and a portion of the tibia or fibula from the other limb inserted into the gap; a tube of radium should also be introduced.
In the case of central tumours the shell of bone is removed over an area sufficient to allow of the enucleation of the tumour, or the affected portion of bone is resected. Should there be evidence of malignancy, such as increased rate of growth, a tube of radium should be inserted, and in advanced cases with destruction of tissue, amputation may be called for.
When arthroplasty is impracticable, and a movable joint is desired for example at the elbow a considerable amount of bone, and it may be also of periosteum and capsular ligament, is resected to allow of the formation of a false joint.
Skin-grafting is a subject which has long been more or less familiar to medical men, but which has only recently been developed to a practically successful operation. The older surgeons knew that it was possible to reunite a resected nose or an amputated finger, and in Hunter's time tooth-replantation was quite well known.
Thereupon Shah Zaman told him all he had seen, from commencement to con elusion, ending with these words, "When I beheld thy calamity and the treason of thy wife, O my brother, and I resected that thou art in years my senior and in sovereignty my superior, mine own sorrow was belittled by the comparison, and my mind recovered tone and temper: so throwing off melancholy and despondency, I was able to eat and drink and sleep, and thus I speedily regained health and strength.
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