The phagedænic ulcer calls for more energetic means of disinfection; the whole of the affected surface is touched with the actual cautery at a white heat, or is painted with pure carbolic acid.
Excision of the primary nodule, followed by the application of the thermo-cautery and sponging with pure carbolic acid, should be carried out, provided the condition is sufficiently limited to render complete removal practicable.
If any acne pustules or infected sinuses are present, they should be destroyed or purified by means of the thermo-cautery or pure carbolic acid, after the patient is anæsthetised.
The use of Scott's dressing and of blisters and of the actual cautery has largely gone out of fashion, but the cautery may still be employed with benefit for the relief of pain in cases in which ulceration of cartilage is a prominent feature.
Cautery effected by a knife or needle heated by the passage of a galvanic current.
The chief advantage of this form of cautery is the possibility of placing the instrument in position while cold, and then heating it.
One is that free bleeding may remove the virus, and the other that the cautery may help in preventing the infection.
He divides rectal fistulae into penetrating and non-penetrating, and suggests salves for the non-penetrating and the actual cautery for those that penetrate.
When cauterization is to be done the direct cautery should be used; caustic applications are only suitable for very timid patients.
Having heated a cautery of the appropriate size, take the finger away rapidly and touch the cautery at once to the end of the artery until the blood stops.
The cautery was applied over a space the breadth of a finger at several points along the dilated veins.
He divides rectal fistulæ into penetrating and non-penetrating, and suggests salves for the non-penetrating and the actual cautery for those that penetrate.
Even in cases where indurated tumors of the breast occur that might be removed without danger of bleeding, it is better to use the cautery freely, though the amputation of such a portion down to the healthy parts may suffice.
The cauteryis used at first in order to prevent bleeding, but also because it helps to destroy the remains of diseased tissues.
Following Theodoric, William of Salicet did much to get away from the Arabic abuse of the cautery and brought the knife back to its proper place again as the ideal surgical instrument.
For shorter elongations he suggests the cautery; for longer, excision followed by the cautery so that the greater portion of the extending part may be cut off.
He is said, for example, to have recommended and applied the cautery in the case of a friend who, when suffering from angina, had sought his aid.
Vigo laid especial stress upon treating this last condition, recommending the use of the cautery or the oil of elder, boiling hot.
Amputation of the penis may be done bloodlessly by the thermo-cautery even close to its root.
Guersant has operated on more than one thousand children, with only three cases of any trouble from hæmorrhage, while four or five out of fifteen adults required either the actual cautery or the sesqui-chloride of iron.
For haemorrhages he used sutures--a little too closely perhaps--styptics, cautery or ligature.
The actual cautery is an old method, but we shall not describe it, as we consider that we have better methods now.
Caustics and the cautery produce wounds that heal slowly and can not be recommended in the treatment of this tumor.
Here the beneficial action of the cautery and the blister may be largely problematical.
The cautery should be laid aside as soon as the tissue cauterized ceases to burn white.
The actual cautery may be beneficially employed for the relief of sub-horny quittor in at least two ways.
In securing this more reliance can be placed on the actual cautery than on any other, whether liquid or solid: it is more under control in application, more decisive in effect, and its results can be anticipated with a far greater certainty.
We have also seen the actual cautery used in sub-horny quittor, where that disease has reached a chronic fistulous stage, as a means of cauterizing the whole length of the lining of each fistulous passage.
These marks I took not to be tatooing or decorative, but as a cure for disease--cautery being a favourite remedy with both races.
It is clasped into two notches, one on each side of the crack, burned into the wall with a cautery iron.
Defn: Cautery effected by a knife or needle heated by the passage of a galvanic current.
I mean this: When a carpenter is ill he asks the physician for a rough and ready cure; an emetic or a purge or a cautery or the knife,--these are his remedies.
The act of searing some morbid part by the application of a cautery or caustic; also, the effect of such application.
Zielewicz reports fifty cases of amputation of the penis by the galvano-cautery loop, mostly for carcinoma, one of the fifty being for gangrene and one other for a large papillary tumor.
In a number of cases he reports operating with the galvano-cautery of Chardin, instead of the knife.
Under good illumination, the cautery is inserted cold along the auditory canal until it just touches the granulation.
If it forms later, it is wiser to wait until the fleshy bridge becomes less vascular and contracts, when it may be divided with a knife or the galvano-cautery at a white heat, and the opposing surfaces are then kept apart as described.
The method of ligature is so simple and safe that the cautery for this purpose has been long abandoned.
Such methods as attempts to destroy the growth by means of the galvano-cautery or by the pressure of laminaria tents should be avoided; they are useless and unsurgical.
The spot through which the needle is passed is first touched with the electro-cautery to ensure asepsis.
In using the cautery care must be taken to push it only just through the membrane for fear of injuring the inner wall of the tympanic cavity.
The galvano-cautery is applied cold; when it is in contact with the drum, the circuit is closed so that the point of the cautery becomes red-hot.
Malignant tumours in very early stages may be removed locally with scissors and forceps, the cautery being applied to their base, since they do not tend to invade the sclerotic deeply.
The current should not be shut off until the cautery is withdrawn, otherwise it will adhere, on cooling, to the tissues with which it is in contact, and on withdrawal will cause bleeding.
If a galvano-cautery be available, and the bleeding comes from a limited and visible point, it can be sealed with a touch of the cautery point.
The ordinary electriccautery is used; only a weak current is necessary as the point of the cautery, of necessity, is very small.
In the presence of advanced pulmonary phthisis the treatment is chiefly palliative, but if the disease in the lungs is amenable to treatment, and the laryngeal lesion limited, the electric cautery may be used.
If recurrent hæmorrhage takes place from the anterior and lower part of the septum, the application of the electric cautery at a dull red heat, or of the chromic acid bead fused on a probe, is the best method of treatment.
Counter-irritation by blisters or the actual cautery may be had recourse to in dry cases in which pain is a prominent feature.
In persistent cases, the edges of the fistula may be pared and brought together with sutures, or the actual cautery may be applied to induce cicatricial contraction.
The astonished doctor assured them all that the cautery was so severe that a strong man, let alone one so weak, could hardly have endured it, while Francis showed no sign of pain" (Spec.
There the doctor advised a cautery over the cheek as far as the eyebrow of the eye that was in worse state.
When the cautery was finished, we returned, and he said to us: 'Fearful and of little faith, why did you flee?
Their removal by the clamp and cautery is equally safe.
Van Buren says: "From recent experience with the thermo-cautery of Paquelin, I am disposed to regard it as more manageable than nitric acid, and at least equally efficient.
Ignipuncture with the thermo-cautery of Paquelin has been successfully used of late by Helferich and by von Bruns of Tubingen.
To this stump apply the actual cautery at a dull red heat, touching its every portion, after which unscrew and remove the clamp and look for hemorrhage.
The operation by the clamp and cautery is a good method when the hemorrhoidal tumors are small.
Finally, a very intractable form of ulceration may follow the clamp-and-cautery operation upon piles.
Excision with the incandescent loop of the galvano-cautery seems to be the most suitable procedure.
The special cautery which was used for 'aegilops' (fistula lachrymalis) was probably an olivary pointed cautery, as the cautery recommended by both Scultetus and Pare for this is an olivary pointed one.
Theodorus Priscianus recommends a cautery of gold for stopping haemorrhage from the throat (Logicus, xxii).
The cauterywas employed to an almost incredible extent in ancient times, and surgeons expended much ingenuity in devising different forms of this instrument.
As a cautery it was used to destroy the roots of hairs, which had been removed for trichiasis.
