Identifier: postoperativetr00mors (find matches)
Title: Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons
Year: 1907 (1900s)
Authors: Morse, Nathan Clark. (from old catalog)
Subjects: Operations, Surgical. (from old catalog)
Publisher: Philadelphia, P. Blakiston's son & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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bladder by suprapubic cystotomyafter injury of the cord, to avoid the constant wetting of the wound,and its infection through the incontinence of the urine. The supra-pubir route is selected, inasmuch as these parts are not anesthetic andtherefore not apt to slough. The suggestion seems to be very reason-able, but I have seen no report of it having been carried into practice.The bedsores should be dressed with boric ointment, carbolated vaselin,or such other mild ointments. They often show very remarkable and Misci l l \\idi s OPEK \ riONS. 329 early improvement, and not uneommonly heal entirely. Of course,the usual precautions as to food and drink must be observed, togetherwith the use of opiates for sleep and such other symptomatic treatmentas may bo required. (Dennis.) SPINA BIFIDA. The radical cure of spina bifida is now more frequently attemptedthan formerly. The choice of methods for removal of the tumor bydissection, ligation, or excision must depend upon the size, local condi-
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Fig. 94.—Spina Bifida (Original).—(American Text-book of Surgery.) tion of the formation or growth, and the general condition of the child.If the tumor is large or the cord or cauda equina is involved, usually noattempt at removal should be made. Pedunculated cysts, where theopening in the lamina is small, may be safely removed. After removalor extirpation a double layer of iodoform gauze is placed over the wround,after which the entire wound and area well around the incision should be 33° POSTOPERATIVE TREATMENT. hermetically sealed by means of collodion and cotton. Over this atleast two layers of rubber tissue should be placed and sealed to the skinabout its edges with chloroform, and, lastly, over all a layer of cotton isplaced, with plain gauze, and all held in position by a broad abdominalbandage. The after-treatment of these cases is of vital importance. Thechild is placed in bed upon its stomach, with no pillow under the head.This position should be maintained for several

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