The state of the retina in one hundred cases of granular kidney / by Henry Eales.

  • Eales, Henry.
Date:
[1880]
Catalogue details

Licence: Public Domain Mark

Credit: The state of the retina in one hundred cases of granular kidney / by Henry Eales. Source: Wellcome Collection.

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    author recommends the subcutaneous division of the con¬ tracted fascia at various situations. 1. In the palm of the hand. 2. Near the web of the fingers. 3. At each of its lateral digital insertions. Median incisions, it is thought better to avoid on ac¬ count of the position of theflexor tendon. Extension is made of the freed digit immediately after the operation, by means of a splint, fixed either anteriorly or posteriorly, and this must be worn day and night for three weeks. At the ex¬ piration of this time the same should be applied only on retiring to rest. It is thought by this proceeding that a relapse but seldom takes place, and even if it should, another subcutaneous division can be recommended at an early date ; “ this contrasts very favourably with the re¬ lapsed cases after open wound” (a procedure recommended by Busch of Bonn) “ which from the nature of the cica¬ tricial contraction are incapable of further relief,” Upon the adoption and practice of the various minutiae described, Mr. Adams believes much of the success of operating in such instances depends. The second portion of the book is occupied with the subject of the obliteration of depressed and unsightlycicatrices in conspicuous positions. These may be rendered much less evident by throughly dividing, subcutaneously, all the deep adhesions of the cicatrix, and keeping the same raised for three days by means of a couple of hare lip needles, introduced at right angles to each other under the scar, thus inducing more or less inflammation. After the withdrawal of these needles, the cicatrix gradually falls, until level with the surrounding parts. Four plates and fourteen minor engravings add to the value of a work which is both interesting and useful. C