A successful case of lumbar colectomy, or excision of a stricture of the descending colon through an incision made for a left lumbar colotomy : with remarks / by Thomas Bryant.

  • Bryant, Thomas, 1828-1914.
Date:
1882
Catalogue details

Licence: Public Domain Mark

Credit: A successful case of lumbar colectomy, or excision of a stricture of the descending colon through an incision made for a left lumbar colotomy : with remarks / by Thomas Bryant. 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.

    8/22 (page 6)
    resp. 30. 10.20 p.m.—Temp. 102-4°, pulse 112, resp. 28. Patient very weak and exhausted, bowels having acted continually since morning, the dressing being changed fourteen times. Wound looking rather dusky. Dressed only with oakum. Ordered chalk and opium mixture every four hours. I may here mention that the patient is very unmanageable, it being quite a battle to make her take either medicine or food of any description. I never met such a woman in all my life. “ 14th (4th day, 12 a.m.).—Temp. 101°. Bowels only acted slightly since last night. Wound looks much better ( and healthier. 10.30 p.m.—Temp. 103°, pulse 104. [ Bowels again very loose and slimy, and the patient very | weak, taking hardly two tumblers of milk and brandy in ^ the twenty-four hours. Very intractable. Wound looking rather red at edges. 15th (5th day, 12.15 p.m.).—Temp. 102*4°, pulse 110. ' Wound looking rather ashy. I removed the two super- ficial stitches. The wound gaped considerably and was evidently going to slough. Dressed it with lint soaked in solution of carbolic oil, 1 in 20. 11 p.m.—Temp. 101*2°, pulse 109. Wound washed out with strong solution of carbolic acid and a charcoal and linseed poultice applied, and ordered to be changed every four hours at least. Opium gr. j 4tis horis. ■ 16th (6th day).—Pulse 104. Some sloughs separating at outer end of wound. Half a pint of milk with 1^ tablespoonful of brandy was all the nourishment that a, could be got down. The opium could only be got -Z down at irregular intervals and with great trouble, v Mouth becoming aphthous and pulse very weak. 6 p.m.— a Temp. 99’4°, pulse 110. Sloughs separating. Still real difficulty in getting down nourishment. ■ ^^17th (7th day, 2 p.m.).—Temp. 99’4°, pulse 110. 9 Wound more healthy, washed well with solution of iodine M and water. One drachm of Tinct. lodi rubbed up 9 with each poultice. 10.50 p.m.—Temp. 98*6°, pulse 100. 9 Had great pain in wound. Sloughs were separating well, M