The Western Lancet Volume 9, No. 10

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1880 edition. Excerpt: ...corroborated by a gentleman of Dr. Emmet's experience, who. in a recently received letter, says: "When I operated in the hotels and boarding-houses I frequently lost patients from the most trifling operations, as I could not guard against their own acts of imprudence. This led me to operate only in my private hospital, where I could take every care and have the patient watched; the result has been most satisfactory." Rest and careful attention during the after-treatment are extremely important features, and yet, with all care, dangerous and fatal results may occur. Very few of the text-books which you may consult before attempting an operation will tell you anything of its dangers, unless it be an ovariotomy or a similarly serious undertaking. They will tell you how to operate, but will not detail the minute precautions to be observed in the operation, or counsel you how careful to be of the patient after she has been operated on, as she ceases to be an object of interest when once the aspiring surgeon has cut. I have called attention to the necessity of cleanliness, if not of Listerism, during the operation, and of rest after it, but must add that among the most important precautions, before even engaging in the operation, is the exclusion of septic influences in the widest possible sense of the word It is not only dangerous for the surgeon to operate if he himself is in attendance upon a case of puerperal or other septic fever, but he even takes a great risk if he operates during the prevalence of such an epidemic, most so in the spring of the year; such at least has been my experience. It was in March and April, 1880, that I lost a patient from puerperal septicemia, without any ajiparent infection, and that those two simple operations, ...

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