The treatment of Spina Bifida by a new method / by James Morton ; with a paper on The pathology of spina bifida by John Cleland.

Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of Spina Bifida by a new method / by James Morton ; with a paper on The pathology of spina bifida by John Cleland. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    When nearly a fortnight old, the child was brought to Glasgow, to he under my care, and this was then done from a fear that an ulcerated or abraded surface on the most prominent part of the tumour might possibly result in perforation of the sac and escape of the fluid, which is known to be so fatal. This abraded surface was more than an inch in diameter. On September 14th I saw and examined the tumour, and on the day following operated on it by puncture and injection of the iodo-glycerine fluid, which I have used and recommended for such cases. As the sac was neither very large (the size of an ordinary peach) nor very full, little escape of the serous fluid was permitted, and about half a drachm of the iodo-glycerine solution was injected. Collodion was, as usual, applied to the opening, and over that -a square inch of lint dipped in collodion, which effectually closed the wound. 'No disagreeable symptoms followed; the sac seemed in part to solidify, and soon appeared to be about half the size it was previous to the operation. Watching it from day to day, it did not seem to shrink readily or so quickly as I could wish, and on September 26th it was again punctured and injection attempted. The size of the swelling at this time was so much reduced that I was very cautious in pushing the trocar into it, and the canula had so little hold and space that it slipped out when I tried to inject a little of the solution by placing the nozzle of the syringe in the opening ; but I suspect that very little, probably only a few drops, obtained admission. 'Collodion and lint were applied as before. Next