Identifier: gaillardsmedical33newy (find matches)
Title: Gaillard's medical journal
Year: 1882 (1880s)
Authors:
Subjects: Medicine Medicine
Publisher: New York : E.S. Gaillard
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and the National Endowment for the Humanities

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ours afterthe operation he had been 32^ hoursin the bath. The following table shows theamount of time spent in the water onsucceeding days. 3rd day 18 hours. jlCll .... ....... ...1A rtL (I H R 111 .«....«..»•*. 1/1 6th 14 7th 18 ; 8th 22 9th 16 10th 15 nth 16 12th ..15 After this date for many days theaverage time in the water was 12 hoursfrom 9 a. m. to 7 p.m., the nights beingspent in bed. An automatic irriga-tion with weak carbolized water wasarranged so as not to require con-stant attention. Some sloughing occurred in thescrotal flaps, and for the purpose ofclosing it, the third operation wasmade Feb. 24th, the 75th day. Onthe 27th, or the 3rd day from thisoperation, he had been 50 hours inwater. Not much constitutional disturbancefollowed, but some additional slough-ing occurred. March 7th, or the 89th day, he was sittingup. March 22nd, or the 104th day, the fourthoperation was made to close the fistulous open-ing in the scrotal flap occasioned by previoussloughing. Fig. 4.
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a. Cicatrix. 6. The flap forming the anterior covering of the bladder. c. The Glans penis. d. The scrotum reduced in size by the transfer of a portion ofits integument to its new position above the diminutive penis. MEDICAL SOCIETIES. 337 No union by adhesion followed thisoperation, but a good result was finallyobtained by the repeated introduction ofplastic pins for sutures. April ist, the 117th day. The granula-tion and cicatrization subsequent to thefourth operation have produced a greatlyimproved condition. The testicles are supported by a scrotumof greatly reduced size, so that they aremuch less in the way of the urinal whichhe now wears with much more comfortthan before the operation. His urine isnow entirely collected while in the erectposture. The cicatrization is not yet completeover the portion of the abdomen fromwhich the great central flap was taken inthe first operation. It was found impossible to reduce thesupply of opium to any great degree whileunder surgical treatment

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