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On incising the sheath of the nerve this bundle can be readily dissected up and its identity confirmed by stimulating it with a very weak galvanic current. An inch or more of the bundle is then resected. Nerves are liable to be cut or torn across, bruised, compressed, stretched, or torn away from their connections with the spinal medulla.
Stelzner mentions a young student who attempted suicide by thrusting a darning-needle into his heart. He complained of pain and dyspnea; in twenty-four hours his symptoms increased to such an extent that operation was deemed advisable on account of collapse. The 5th rib was resected and the pleural cavity opened.
"You surely allow that the British government is trying to do right, and after all we must admit that that Jilson affair resected very little credit on our own administration." "A man ken make one awful big mistake an' still be all right, but he can't go on making a little mistake every day right along an' be fit company for a clean crowd," retorted the new senator.
Intestinal anastomosis, whereby two portions of a severed or resected bowel can be intimately joined, excluding from fecal circulation the portion of bowel which has become obstructed, was originally suggested by Maisonneuve, and was studied experimentally by von Hacken. Billroth resorted to it, and Senn modified it by substituting decalcified bone-plates for sutures.
Gastroenterostomy and pylorectomy are operations devised for the relief of malignant disease of the pylorus, the diseased portions being removed and the parts resected. Gastrectomy or extirpation of the stomach is considered by most surgeons entirely unjustifiable, as there is seldom hope of cure or prospect of amelioration.
There had been an amputation at the shoulder-joint, a foot had been taken off, a humerus resected; but would gangrene or purulent contagion be clement and spare the patient? Or else they had been burying some one of their inmates, most frequently a Frenchman, now and then a German.
Following the lead of Mikulicz, a considerable number of permanent cures have been obtained by resecting the portion of bone which is the seat of the tumour, and substituting for it a corresponding portion from the tibia or fibula of the other limb. In a cellular sarcoma of the humerus of a boy we resected the shaft and inserted his fibula ten years ago, and he shows no sign of recurrence.
When this is difficult, a portion may be resected from each of the nerve-trunks at a higher level; and if this fails to give relief, a fresh amputation may be performed. When there is agonising pain dependent upon an ascending neuritis, it may be necessary to resect the corresponding posterior nerve roots within the vertebral canal.
Operative treatment of deformities resulting from tuberculous joint disease has almost entirely replaced reduction by force; the contracted soft parts are divided, and the bone is resected.
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