Hydatid disease, Vol. II. By the late John Davis Thomas... A collection of papers on hydatid disease / edited and arranged by Alfred Austin Lendon.

  • Thomas, J. Davies (John Davies), 1844-1893.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Hydatid disease, Vol. II. By the late John Davis Thomas... A collection of papers on hydatid disease / edited and arranged by Alfred Austin Lendon. Source: Wellcome Collection.

Provider: This material has been provided by London School of Hygiene & Tropical Medicine Library & Archives Service. The original may be consulted at London School of Hygiene & Tropical Medicine Library & Archives Service.

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    observation of the operators for a sufficiently long time after the opera- tion to justify the conclusion that a permanent cure had been effected. Table I.—Table showing the Results of Tapping Operations upon Echinococcus Cysts in various parts of the body :— 0f deaths. Failure of Not Puncture. Relieved (other opera- tions. Relieved Reputed Cures, i Result Unknown Total. Liver ... ... 73 5 92 63 168 10 411 Lung 14 — 20 1 14 4 1 53 Spleen 2 ~ 7 4 6 1 20 Kidney — — 4 — 2 — 6 Omentum, mes- entery, &c. ... 1 — 3 — 3 — 7 “Abdomen” ... 1 — 1 5 1 2 10 Male Pelvis ... 4* — 4 — 5+ — 13 Total ... 95 5 131 73 199 17 520 Summary of the Results of Tapping Operations:— Deaths ... .. ... ... ... ... 18*88 percent. Not relieved ... ... ... ... ... 0*99 “ Unsuccessful punctures followed by other operations 26 04 “ Total failure of punctures ... ... ... 45*91 Relieved ... ... ... ... ... ... 14*51 Reputed cures ... ... ... ... ... 39 56 Total successes of punctures ... ... ... 54*07 “ The results of aspiratory puncture show only about half the ratio off deaths as compared with puncture with an ordinary trochar. The mortality rises with the number of tappings required. The best results are met with in living juvenile echinococci of moderate size, the worst in old degenerated or suppurated cysts. (b) The Treatment of Hydatid Cysts by means of Medicated Injections.—Injections have been extensively employed as adjuncts to- various forms of radical operations, e.g., in the course of treatment by * Once the bladder as well as the cyst was punctured ; twice the cyst was punctured per rectum. t Three doubtful cures.