The British Journal of Surgery, 1922, Vol. 9 (Classic Reprint) PDF Download
Are you looking for read ebook online? Search for your book and save it on your Kindle device, PC, phones or tablets. Download The British Journal of Surgery, 1922, Vol. 9 (Classic Reprint) PDF full book. Access full book title The British Journal of Surgery, 1922, Vol. 9 (Classic Reprint) by . Download full books in PDF and EPUB format.
Author:
Publisher: Forgotten Books
ISBN: 9780484275699
Category : Medical
Languages : en
Pages : 630
Get Book Here
Book Description
Excerpt from The British Journal of Surgery, 1922, Vol. 9 From the surgical point of View we have to consider, first, the treatment when the disease has been diagnosed before complete Obstruction has set in, and, secondly, the treatment when this complication has arisen. In order the better to develop my thesis, let me deal with the latter first. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Author:
Publisher: Forgotten Books
ISBN: 9780484275699
Category : Medical
Languages : en
Pages : 630
Get Book Here
Book Description
Excerpt from The British Journal of Surgery, 1922, Vol. 9 From the surgical point of View we have to consider, first, the treatment when the disease has been diagnosed before complete Obstruction has set in, and, secondly, the treatment when this complication has arisen. In order the better to develop my thesis, let me deal with the latter first. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Author: UNKNOWN. AUTHOR
Publisher: Forgotten Books
ISBN: 9781330271278
Category : Medical
Languages : en
Pages : 631
Get Book Here
Book Description
Excerpt from The British Journal of Surgery, 1922, Vol. 9 The result is that many weeks may elapse before the patient is out of the surgeon's hands. In dealing with malignant disease between the hepatic flexure and the pelvirectal junction, the question we have to consider, therefore, is whether it is possible to find a compromise between the two procedures above referred to - a method, that is to say, which combines the advantages of both without possessing the disadvantages and risks of either. The experience I have had in dealing with the cases which have been operated on when the obstruction has become complete has convinced me that there is such a method, and that the risks which attend the one-stage operation may be largely, if not entirely, eliminated by opening the cæecum. I have entirely given up the Mikulicz operation. For the past ten years it has been my invariable practice, in the absence of obstruction, to do a primary resection followed by an end-to-end anastomosis; and then, as the final step of the operation, to make a small incision over the cæcum and, by means of a carefully applied continuous suture, to stitch the circumference of an area of the anterior wall of the cæecum about the size of a two-shilling piece to the parietal peritoneum and the two deeper muscles. The cæecum is opened twenty-four or forty-eight hours later. A tube about the diameter of a lead pencil is introduced to keep the opening patent. The opening, by providing for the escape of flatus, acts as an efficient safety-valve in preventing all strain on the intestinal sutures. As already mentioned, the patient has almost always a painless and uneventful convalescence; moreover, there is no hurry or anxiety about the giving of an aperient to get the bowels to move. Quite frequently there is a movement by the rectum without the help of an aperient: if one should be necessary it need not be given until the end of the first week, by which time the healing of the bowel will have become secure. The opening in the cæecum need only be about three-quarters of an inch in length, and as it is not intended to be permanent its edges should not be sutured to the skin. In the majority of cases the fistula will have closed spontaneously either when, or shortly after, it is time for the patient to leave the hospital, which he usually does in about three weeks from the date of operation. From the patients point of view, therefore, this procedure possesses a great advantage over the Mikulicz operation. To prevent fæcal matter from the cæcostomy opening reaching the main wound, all that is necessary is to cover over the gauze dressing with a sheet of batiste and fix to the skin (with Michel's clips) the edge which is directed towards the cæcostomy opening. In my opinion there are three advantages which may be claimed for combining a small cæcostomy opening with a primary resection. They are: - 1. It allows of an end-to-end union with safety. 2. This, again, makes it easier to remove a greater extent of bowel, mesentery, and glands than if it were intended to re-establish continuity by a lateral anastomosis. 3. It is sometimes possible to effect an end-to-end union in cases in which a lateral anastomosis would be impracticable; for example, when the tumour is situated rather near the pelvirectal junction. I have become so convinced of the great value of cæcostomy in the treatment of malignant disease of the large intestine that I have seriously considered the question as to whether it is advisable to do it as a preliminary to a resection at a later date, even in the absence of obstruction, just as we do a sigmoidotomy preliminary to removal of the rectum. It is true that in the latter case we divert the whole of the fæces from the pelvic wound, whereas by the cæcostomy we only divert a part of them; it is enough, however, to provide a safety-valve. I will at any rate go so far as...
Author:
Publisher: Forgotten Books
ISBN: 9780483756151
Category : Medical
Languages : en
Pages : 734
Get Book Here
Book Description
Excerpt from The British Journal of Surgery, 1918, Vol. 5 In the Royal Navy, where service in times of peace approximates so closely to the conditions in war, the organization of the Medical Department, in common with that of the other permanent branches, suffers no radical change when hostilities are declared. Such re-arrangements and extensions as occur have been rehearsed to a degree sufficient to test all the machinery required for a rapid mobilization to full war strength. Beyond the redistribution of a limited number of active service medical ranks and ratings, the admission of reservists, temporary service auxiliaries, and volunteers, and the extension of hospital accommodation, there is no disturbance of existing arrangements. The same organization which augments the personnel for the grand manoeuvres of peace time is employed on occasions of war. The Medical Service required for new units and new formations arising during the progress of hostilities, such as the battalions of the Royal Naval Division and the Armoured Car and other detachments serving ashore, is but an extension of that supplying the Royal Marines and the Royal Naval Air Service which is permanently under Admiralty control; while the arrangements for the transport of wounded are but expansions of the system of collecting naval invalids and hospital cases from ports and fleets by hospital ships, a system that has been in existence for many years. The provision of hospital trains for the distribution of wounded to the naval hospitals, and the appointment of medical transport officers to control this service, is practically the only part of the programme of transport that has not been rehearsed. This easy transition from peace to war is in marked contrast to the violent dislocation and re-organization which of necessity attend the mobilization of large military expeditionary forces and the creation of huge armies from raw material. In the Navy, fortunately, the expansion, great as it is, has not proved overwhelming. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Author:
Publisher: Forgotten Books
ISBN: 9780484914963
Category : Medical
Languages : en
Pages : 570
Get Book Here
Book Description
Excerpt from The British Journal of Surgery, Vol. 8: July 1920 to April 1921 During these five years the journal has appeared regularly in spite of the enormous rise in prices and in wages. It has been well supplied with papers dealing largely, but not exclusively, with the new military surgery, and now that the Association has at last emerged from its larval condition, the journal starts upon a new phase in its history. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
Author:
Publisher:
ISBN:
Category : Bibliography
Languages : en
Pages : 676
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category : Bibliography
Languages : en
Pages : 1644
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category : Bibliography
Languages : en
Pages : 676
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category : Editions
Languages : en
Pages : 1156
Get Book Here
Book Description
Author:
Publisher:
ISBN:
Category : Microforms
Languages : en
Pages : 1012
Get Book Here
Book Description
Author: Jacob Cohen
Publisher: Routledge
ISBN: 1134742770
Category : Psychology
Languages : en
Pages : 625
Get Book Here
Book Description
Statistical Power Analysis is a nontechnical guide to power analysis in research planning that provides users of applied statistics with the tools they need for more effective analysis. The Second Edition includes: * a chapter covering power analysis in set correlation and multivariate methods; * a chapter considering effect size, psychometric reliability, and the efficacy of "qualifying" dependent variables and; * expanded power and sample size tables for multiple regression/correlation.
