Skin and Venereal Diseases, Volume 10

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Year Book Publishers., 1902
 

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Page 90 - The tube is fortytwo millimeters in circumference and six and one-half inches in length without the obturator. It has an auxiliary tube carrying a small incandescent lamp of low heating power, which is exposed through a small window near the distal end and on the longer side of the tube. On the short side of the distal end of the tube, and almost directly opposite the lamp, a groove is cut in the side of the tube for the insertion of the cautery. The groove is intended to give greater rigidity to...
Page 86 - Favorable for the Suprapubic Route. — (1) General enlargement of the prostate, with extreme intravesical projection of the median or lateral lobes, diminishing their accessibility from the perineum; (2) Marked pedunculation of the intravesical tumors, with absence of obstruction from other sources. Favorable for the Perineal Route. — (1) General hypertrophy involving the lateral lobes, without extreme intravesical projection; (2) Large or very thick bar formation...
Page 1 - Under the General Editorial Charge of GUSTAVUS P. HEAD, MD, Professor of Laryngology and Rhinology, Chicago Post-Graduate Medical School.
Page 97 - Myomectomy done through a median perineal incision is the operation which promises the best results, and is the operation of choice. It is applicable to the greatest number of cases in which permanent cure may be expected, the kidneys being physiologically sufficient and unimpaired. The perineal fistula will always close spontaneously after the perineal drainage is discontinued, and if enough mucosa has been left there will be no stricture. AC Bernays (Medical News, Feb.
Page 173 - We have no infallible guide to the extent of the lesion. The operation at the worst does not materially endanger life nor affect unfavorably the course of the case, and may at least reveal the lesion and lessen the pain; it may sometimes save a patient from death or...
Page 223 - ... heredity. 5. In a certain relatively small number of cases mental stress, worry or overwork may be the sole ascertainable cause. 6. Traumatism may also be the cause in a still smaller proportion of cases, but in many of them it acts as a developing or ripening agent of an incipient paresis in a syphilitic subject.
Page 87 - In most cases, where the patient is in good general condition and there is not a special indication favoring one of the other procedures. Favorable for the Bottini : 1.
Page 96 - ... button-hole or fistula. In recent cases of hypertrophy, in which the patient's health has not been injured by chronic cystitis or nephropyelitis, the dangers of myomectomy or perineal prostatectomy are minimal, and in these cases a radical and satisfactory functional result can be achieved by myomectomy. Operation must be regarded as a palliative measure intended to enable the patient to evacuate his bladder more completely than before. It will probably have a very limited usefulness, and will...
Page 90 - ... throat and other galvano-cautery purposes. It will be observed that one is of greater length than the others and has an oblique angle corresponding somewhat to the angle of the Bottini knife. These cauteries have a comparatively limited reach, which is, however, somewhat increased by bending the wire near the cautery end and tilting the tube while the cautery is in use. There, is, as you will observe, a plug containing a diagnostic window for closing 'the outer end of the tube. On the side of...
Page 223 - It is not usually the sole cause, but there is associated with it the deleterious effect of mental stress and over-excitement, dissipation and alcoholism and heredity.

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