In seventeen of the cases other methods of treatment had been ineffectually tried: in six the resection was followed by erysipelas, in one by phlegmasia dolens, and in two by profuse suppuration and abscesses.
That the seton, variously modified, is safer, speedier, and more successful than resectionor caustic.
Resection of the upper part of the femur, including the head and two inches below the small trochanter, was performed once, but the patient died from pyemia.
Of forty patients for whomresection of the elbow–joint was performed six died, thirty–two recovered with a more or less useful arm, one remained unhealed at the time Dr.
Resection of the Terminal Portion of the Perforans Tendon (Gutenacker) 108.
The operation is known as resection of the plantar aponeurosis, or the complete operation for gathered nail.
The operator must then proceed to resection of the tendon in order to treat the deeper structures thus affected.
The operative treatment is influenced by the extent of the disease in the soft parts overlying the bone, and consists in wide removal of the diseased tissues and resection of the bone, or in amputation.
Murphy advises resection of the radius and ulna sufficient to admit of dorsiflexion of the joints and lengthening of the flexor tendons.
Early resection of the shaft is also indicated if the opening of the medullary canal is not followed by relief of symptoms.
In the case of a metacarpal or metatarsal bone, sub-periosteal resection is the procedure of choice, saving the articular ends if possible.
When resection is impracticable, a subcapsular enucleation is performed, followed by the insertion of radium.
The treatment by injection of alcohol is superior to the resection of branches of the nerve, for though relapses occur after the treatment with alcohol, renewed freedom from pain may be obtained by its repetition.
The perforation operation should only be employed when the patient is in circumstances where a complete submucous resection cannot be carried out.
It can therefore only be approved of when the surgeon has not acquired the technique of the submucous resection operation (see p.
Submucous resectioncan be completely carried out under local anæsthesia, as described on p.
It is kept in situ for 48 hours by vaselined cotton-wool plugs, similar to those used in the submucous resection of the septum (p.
Over the greater part of the circumference this can be done with Freer’s sharp elevator, or with the small sharp elevator employed in submucous resection of the septum.
An extensive operation, such as submucous resection of the septum, can then be performed without the loss of more than a trifling amount of blood in most cases.
Removal of the talus is an alternative operation to resection of the tarsus, and may yield equally good results.
Pain shooting up to the ear may be relieved by resection of the lingual nerve, or the injection of alcohol into its substance.
It has not yet been decided whether the results of the resection of nerve roots justify the risk.
Of the operative procedures, resection of portions of the accessory nerve on one side, and of the posterior primary divisions of the first five cervical nerves on the opposite side, seems to offer the best prospect of recovery.
A submucous resection of the deflected portion is to be preferred.
Murphy has practisedresection of cicatricial or atrophied portions of the cauda, with end-to-end suture.
Resection of a wedge from the tarsus (Davies Colley, 1876) is reserved for the most severe cases in which the shape and rigidity of the bones prevent correction of the deformity by any other means.
Simple division of these nerves or resection of the accessory alone has not proved permanently curative.
Treated by resection of both joints, and the insertion, on the palmar aspect of each, of a flap from the abdominal wall.
The arch can only be restored by a wedge-resection of the tarsus.
When reflex irritability of the muscles with consequent spasm is a prominent feature, the reflex arc may be interrupted by resection of the posterior nerve roots corresponding to the part affected.
In old-standing cases, to obtain a useful joint, or to remove pressure from the branches of the radial nerve, resection of the head of the radius may be necessary.
The stitches necessarily used in resection operations are an additional source of irritation.
If the blood supply after the resection is evidently to be poor, resection is useless.
Turetta[190] speaks in favor of resection in certain cases.
Almost certainly function could be restored where the resection of the tubes is not too destructive.
In considering the propriety of resection of gastric cancers it has become a matter of importance to know in what proportion of cases adhesions are present.
In cases of extreme cancerous stenosis of the pylorus which are not suitable for resection Wolfler proposed forming a fistulous communication between the stomach and the small intestine (gastro-enterostomy).
A successful resection of a cancer of the pylorus by Billroth in January, 1881, made a great sensation in the medical world.
Therefore, before concluding as to the value of resection of cancer of the stomach it is necessary to await the results of individual surgeons in a series of cases.
Only those cases are suitable for resection in which there are no secondary deposits, the general health of the patient is in fair condition, and extensive adhesions have not been formed.
Here it may be added that the propriety of resection is less open for dispute in cases of non-cancerous pyloric stenosis than it is in cancer of the pylorus.
Resection of the pylorus in cases of cancerous and of cicatricial stenosis of this orifice has been performed in several instances.
In my opinion the resection of gastric ulcers which resist all other methods of treatment, and especially those which cause progressive stricture of the pylorus, is a justifiable operation.
It is probable that to an even greater extent resection of the pylorus will become the specialty of certain operators.
As yet, it is too soon to express a positive opinion as to the value of resection of gastric cancer.
These four cases (three successful) are all which I have found recorded of resection of gastric ulcer.
In cases in which there is reasonable suspicion of the existence of gastric cancer, and in which there is proper ground to contemplate resection of the tumor, it is justifiable to make an exploratory incision into the abdomen.
Two fistulae were found in the right loin, and were laid open into one canal, which, after partial resectionof the 12th rib, was dilated and traced inward and upward, and found to be in connection with the stomach.
He also performed resection of the hip-joint upon the cadaver--another of the same name, Anthony White, having done the operation on the living subject in 1721.
He it was who made the first resection of the larynx and of the stomach, and to him we are indebted for many other daring operations.
Weakness of the patient enters also as a demand for the exhibition of a local anesthesia in such operations as resection of a rib for empyema, in which instance the action of the heart or lungs is embarrassed.
The curative or operative treatment of varicose veins consists of performing a resection of the internal saphenous vein of one or two inches, near the saphenous opening into the femoral.
Complete resection of bones may at times be avoided by this treatment.
These physical signs suggest empyema; and rib resection had been done before admission in a number of cases only to find the pleura normal.
Radical resectionor cauterization of the base is unwise because of the probable impairment of the voice, or cicatricial stenosis, without in anyway insuring against repullulation.
In the present state of our knowledge (he says), the treatment to be preferred for spasmodic torticollis is resection of the external branch of the accessory.
Resection of a branch of the trigeminal is valueless; facial elongation only causes a corresponding paralysis, and should this latter accident be transient, as in a case of Bernhardt's, so is the relief from the tic.
It soon became obvious thatresection of the spinal accessory was insufficient.
Coudray[203] recognised the insufficiency of section or resection of the accessory, yet decided in its favour.
One can hope for success only if the tic is of reflex origin, where extraction of a tooth, or local treatment of an ulcer, or resection of part of the trigeminal nerve may be indicated.
Linz's two cases[209] of resection were unsatisfactory.
The last division of the subject of paralyzing agents in the treatment of neuralgia includes the surgical operations for division or resection of a painful nerve.
And I am yet more doubtful as to the advisability of such surgical procedures as the division or the resection of a piece of the painful nerve.
Forceps more or less like in form to the beak of the parrot or the vulture (rostrum psittacinum et vulturinum), for the removal or resection of teeth that have grown in abnormal positions.
When supernumerary teeth cause an irregularity of the dental arches, this must be corrected, says the author, either by resection of such teeth, if they are very firm, or by their extraction.
