This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ... chapter xiii. local anesthesia in hernia operations. Although I do not approve of the use of local anesthesia in operations for the cure of hernia, it is of more than passing interest to review in this connection the work that has been done by J. A. Bodine (Medical Record, October 21, 1905). Bodine ...
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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 edition. Excerpt: ... chapter xiii. local anesthesia in hernia operations. Although I do not approve of the use of local anesthesia in operations for the cure of hernia, it is of more than passing interest to review in this connection the work that has been done by J. A. Bodine (Medical Record, October 21, 1905). Bodine has operated on 284 patients, with 300 hernias, under local anesthesia, without a death or suppurating wound. By means of Schleich's infiltration method the amount of cocain is reduced to a minimum and limited to a small area, producing acute local anemia, effectually retaining the fluid in one spot. Cocainization of a sensory nerve trunk, abolishing pain sensation in the region supplied by it, renders it possible to operate for hernia by its use. The operative area is superficial, and the region restricted by the anatomy of the parts. In strangulated hernia, local anesthesia does not increase the shock, while general anesthesia is often too great a load to be borne. The local anesthetic permits of the application of hot towels to a possibly gangrenous intestine for some time, in order to determine whether it will react. The operation does not give rise to the danger of injury to the nerve fibers. The danger to a line of deep sutures from vomiting is done away with. There is no danger of cocain poisoning with the small dose necessary--that is, one-half grain injected intermittently throughout an hour. Morphin given after the operation would act as an antidote were poisoning possible. The operation is more thorough because of the absence of haste and the lack of need to save the patient pain. There are no evidences of pain during the operation. The cocain solution should be made fresh. The solution is 0.2 per cent, for infiltration of the skin...
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PLEASE NOTE, WE DO NOT SHIP TO DENMARK. New Book. Shipped from UK in 4 to 14 days. Established seller since 2000. Please note we cannot offer an expedited shipping service from the UK.