Brain abcess / by Gilbert Horrax.

  • Horrax, Gilbert, 1887-1957.
Date:
[1938?]
Catalogue details

Licence: In copyright

Credit: Brain abcess / by Gilbert Horrax. Source: Wellcome Collection.

    17/30 (page 546)
    If the abscess capsule is sufficiently thick or firm (and it usually is when the process has been going on from two to four weeks), several stitches of fine silk on fine curved French needles should now be taken through the capsule in the manner and place shown by the illustration (Fig. 386). These stitches are held up by an assistant with just enough tension not to have them tear out. Capsule is then opened widely within the area of these stitches, and the remaining pus evacuated from the cavity by gentle suction. The stitches in the capsule are next Fig. 388.—-The marsupialized abscess held widely open by gauze loosely packed with thin gutta¬ percha tissue which lies next to the abscess wall. Intracranial pressure gradually pushes this pouch outward until the surface becomes flat and granulates. sutured to the galea (Fig. 387)? thus making the mouth of the sac entirely extra¬ cranial, and as a final step a fairly large tampon of gauze inside gutta-percha tissue is inserted down to the bottom of the cavity (Fig. 388). The whole area of operation is left widely open, scalp vessels being sealed off by coagulation, and a large piece of gutta-percha tissue placed over the entire