My nner practice was carry help with my thesis the common ligatures through the vagina, and in connection with the report a few cases I argued briefly for this method in this Jourkal a few years since. I still think an excel lent plan, and if this the direction cho I cannot for a moment donbt that the thesis statement for research paper use the instrument described a Vast improvement upon that the simple ligature but I confess I less inclined than formerly prefer this as an exclusive method.
I have had three cases phlegmasia dolens arising after ovariotomy where ihe ligatures were carriied through the vagina, apparently dependent upon the long-continiied presence the ligatures in such dose proximity the veins. Moreover, in several recent cases where circumstances forbade carrying the ligatures behind the uterus, and where the pedicle was too shoi ibr the clamp, I have brought the ligatures out at the lowchr angle the wound, and have been entirely satisfied with the plan.
By the pressure the abdominal bandage the viscera are made fill the pelvic basin as effectually displace any fluid there, and thus drainage practically thorou in this way, while at the same time the cavity the abdomen can washed out wilh greater college essay proofreading service ease, should occasion can someone write my thesis arise. I therefore inclined think that the greater facility application and the greater immunity which gives from phlebitis Will ead the preference, in a majority cases, for the instrument represented, which carry the ligature throtigh steel plate, which supports, upon its upper surface a short, upright, hollow cylinder, the tube being continuous with the groove llie staff when fitted. An angular offshoot from this receives the spring B, which fastens as in the other form the shows the operation a screw and clamp for closing and holding the spring while thie ligature being adjusted. Its application very simple and easy. The ligature, which Bhould a metallic one, being cast around the pedicle, its two ends are Carried Ihrough the danalto D, and fastened while the spring i hut.
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rests in the lower angle the incision, which elsewhere closed. The plate rests upon the integument, the spring lying upon the pubis in the median line, and supported laterally the compress and binder properly adjusted.
The groove aids in drainage. The entire instrument weighs less than Wells's clamp. The length the shaft should such that will support the stump in, or nearly in, its ndrmal position Without any strain, and as in different cases there much variatidn in the length the pedicle and thickness abdominal wall, I have had three shafts made diff rent lengths for the same plate, the shortest measuring inches and the longest buy essay cheap This instrument, both in its original and modified fdrms, I exhibited and described, in much the same language as I have used above, at the meeting the Maine Medical Association in Bangor, June, applying the name spring Mgator. Since that time I have had the one represented in modified as follows The plate fitted receive two shafts instead one for double ovariotomy, and these merely slide into place, instead screwing in, being fastened with a little thumb screw.
The opening at the extremity for the ligature made a little larger, and just above the end transfixed with a pin, which stops the ligature when its work completed. In this form need help writing essay help writing term papers the instrument made in a manner and handsomely packed I hardly need repeat that the credit this instrument in its original form belongs entirely community service essay Dr.
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The modifications At the time its exhibition our State Society, no opportunity had offered test its action upon an oyarian pedicle, and although I felt entire confidence and expressed myself, as did the surgoons pre sent, were nevertheless anxious for a demonstration its power. As I have already said, such an opportunity was afforded in Case.V. In this instance, the pedicle was an inch and a half wide and half an inch thick before was compressed at all. The spring ligator was applied with perfect ease, and in every way seemed entirely adapted the purpose as elicit expressions unqualified commendation from all present. The ligature used in this case was platinum wire, which I employed at the suggestion student, account its combination strength and flexibility. The patient died sixty-four hours after its application. There had not been the least haBmorrhage or suppuration, and the ligature had already divided fully four-fifths the stump.
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