Acupressure : a new method of arresting surgical hœmorrhage and of accelerating the healing of wounds / by James Y. Simpson.

  • Simpson, James Young, 1811-1870.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: Acupressure : a new method of arresting surgical hœmorrhage and of accelerating the healing of wounds / by James Y. Simpson. Source: Wellcome Collection.

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    the second intention occasionally depends upon the constitutional health and state of the patient, and upon the hygienic and other circumstances in which he is placed. It always, however, de- pends also, more or less—and generally almost entirely—upon the local character and circum- stances of the wound, and particularly upon the free and perfect coaptation of its opposed surfaces. I have seen, on dissection, a revivified vesico- vaginal fistula perfectly and entirely united within five days after it was operated upon, though the patient during that short interval was the subject of a mortal attack of pelvic cellulitis and peri- tonitis,' with the amount of constitutional dis- Closure of a vesico-vaginal fistula in a patient who died five days after the o2)emtio7i.—The case I aUude to was one where the operation was difficult, from the incarceration of the cervix uteri witliin the bladder. It was very ably performed in Edin- burgh by Dr. Bozeman.—(See Dr. Keiller's Eeport in the Edin- burgh Medical Journal for October 1858, p. 330.) The case, says Dr. Bozeman, should be considered entirely successful,' notwithstancUng the death of the patient . . . In the autopsy we foimd the suture apparatus as perfectly adjusted as the day it was appUed, with the result of & perfect union of the edges of the fistula. The pyasmia, of which the patient died, should, I think, be considered apart from the operation.-(See Dr. Bozeman's