Saline baths in Graves' disease / by Claude Wilson.

  • Wilson, Claude.
Date:
[1895]
Catalogue details

Licence: Public Domain Mark

Credit: Saline baths in Graves' disease / by Claude Wilson. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    1/12 (page 227)
    hypodermic needle is inserted to ascertain the condition of its contents. If these prove to be solid, the sinus is opened along the whole of its exposed length, and the decomposing adherent blood-clot scooped out with a Volkmann’s spoon. This cleansing is persevered in until a gush of blood denotes that all the clot has been removed. The haemorrhage, which may be at first alarming, is easily controlled by plugging the sinus with thin strips of iodoform gauze, or the use of an antiseptic wax such as that introduced by Mr. Victor Horsley. The internal jugular vein should at the same time be ligatured in the neck. If it is evident before operation that the septic thrombus has already spread down this vessel, this may be done before exposing the sinus, but is, in any case, best done before the sinus is opened. The vein should be exposed in a healthy part of its course, beyond the thrombosed portion, ligatured in two places, and divided between. The object aimed at in so ligaturing the vein is to arrest if possible the progress of the thrombus along its most common course, and to prevent portions of infective clot being carried along it into the general circulation. SALINE BATHS IN GRAVES’S DISEASE. BY CLAUDE WILSON, M.D. Edin., Tunbridge Wells. The treatment of obstinate Graves’s disease is admittedly so unsatisfactory that no apology is needed for bringing before the notice of the profession any method Avhich seems to offer a fair prospect of affording relief and promoting recovery: and while it would be rash to argue that a plan of treatment which does good in one case will prove equally efficacious in another, yet I venture to think that the results which I submit are sufficiently remarkable to be of very considerable interest, and to justify a more extended trial of the method under which they have been obtained. The patient is an unmarried lady fifty years of age, who ^ 3zy ■ jl v. an~ x