The First Lines of the Practice of Surgery; Designed as an Introduction for Students, and a Concise Book of Reference for Practitioners - Softcover

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This historic book may have numerous typos, missing text or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1813. Not illustrated. Excerpt: ... Balls, shot into the abdomen, are occasionally discharged with the stools.* Wounds of the parietes of the belly, after being healed, are apt to be followed by herniae, on the patient resuming his usual exercises. Numerous cases, proving the truth of this observation, are recorded in the annals of surgery.f Hence, surgical authors advise the cicatrix to be constantly supported with a pro^ per bandage. CHAP. XLIII. PSOAS ABSCESS. THIS signifies a collection of matter, which usually forms behind the peritoneum, in the cellular substance surrounding the psoas muscle. The origin of this malady is not, in general, attended with any symptoms of acute pain and inflammation, nor with any febrile disturbance of the constitution. There is a dull uneasiness in the region of the loins; but, this, so far from leading to a suspicion of the nature of the disease, is usually regarded as rheumatic. The matter is formed slowly, and imperceptibly, and occasions, at first, no manifest swelling, nor fluctuation, and no material symptom whatever, excepting the un-? easiness in the loins, and a slight weakness of the thigh and leg on the affected side. While the abscess occasions no external tumor, the diagnosis is always difficult, and any opinion, founded on the existing symptoms, is very undeserving of implicit confidence. The outward swelling, at length occurring, may take place in various situations. For the most part, the matter descends, by its own gravity, in the course of the psoas muscle, passes • See an interesting fact of this kind recorded in Schmucker's Vermischte Chirurgische Schrifien, band 2, p. 143. f See Richerand's Nosographie Chirurgicale, tom. 3, p. 322, edit. 2. Schmucker relates a case, which followed puncturing an abscess of the abdomen with a lancet, Ver...

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