File:A treatise on the medical and surgical diseases of women, with their homopathic treatment (1880) (14590309950).jpg

Identifier: treatiseonmedica00eato (find matches)
Title: A treatise on the medical and surgical diseases of women, with their homopathic treatment ..
Year: 1880 (1880s)
Authors: Eaton, Morton Monroe. (from old catalog)
Subjects: Women
Publisher: New York, Philadelphia, Boericke & Tafel (etc., etc.)
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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e. Among the remedies most frequently indicatedwe will find Ars., Apis, Conium, Macrotis, China, Nux, Bry.,Sidpli., etc. Amputation of the Breast, or Exsection of the Tumor.—In the malignant tumors of the breast it is of but little useto operate, for at best the disease is sure to return in a fewyears. Removal of the growths with caustic paste is alsojust as unsatisfactory. The removal of the whole or a partof the breast in cases of large, hard, non-malignant tumorsof this gland is often advisable. Operation.—The patient is to be placed under the influ-ence of an anaesthetic, and then placed upon the operatingtable. The incisions should be made in the skin of an ellip- AMPUTATION OF THE BREAST. 703 tical shape, so that when the tumor is removed the integumentmay be brought together, and have no redundancy. The first incision should be in the direction of the fibersof pectoralis major muscle, if possible (sometimes, owing tothe position and shape of the tumor, this rule must be ig-
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Fig. No. 64.—Operating Table. nored), and should encircle the lower part of the tumor, andshould include the skin and cellular tissue. The tumorshould now be held up by an assistant while we dissect off(he lower flap of integument from the tumor. After this is done, we make a similar incision upon theupper side of the tumor, and dissect back the flap as before.We now grasp the tumor with the left hand, and dissect itout with the right, peeling it out as much as possible, usingthe fingers, or the handle of a scalpel, for this purpose, andincising such tissues as wTe find we can not lacerate. An 704 EATON ON DISEASES OF WOMEN. assistant should seize any artery we may divide with theartery forceps, and use torsion if it be small, or let anotherassistant ligate it, if it be of considerable size. After theremoval of the tumor, and we have ascertained that all ooz-ing of blood has been arrested, wre may lay the flaps together;apply a, compress of soft cloth wet with warm water andArnica;

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