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. 1857 Excerpt: ... deal of urine comes away by the perineum, and the surrounding induration does not diminish. I have determined to draw his water off every morning and night, and not permit him to pass it himself, so that the fistula may have the opportunity of healing. This I did for several days, and it had the effect of diminishing his suffering very much; but the opening did not seem disposed to heal, and as he was in very bad circumstances, and was compelled to keep the sitting posture to attend to his work, I thought it better that he should have the comforts of an hospital, and accordingly sent him into King's College, under Mr. Fergusson. By this time there was not any appearance of stricture remaining, and I could pass a large catheter with ease. At this institution it was thought necessary to make a freer incision through the diseased textures, and at the same time to open the canal. A great deal of bleeding--causing the patient to faint away--followed this operation, but he rallied. The opening gradually closed, the induration disappeared, and I saw the patient, some time afterwards, looking quite hearty. # Now, upon this case I look with special interest, as affecting the question as to the mischief which may be produced by potassa fusa. An observer who is prejudiced would at once exclaim, " Here is the very case to show it:" but it appears to me that we should not hastily conclude that the suppuration was produced by the caustic, nor, on the other hand, should any one as hastily say that the agent was harmless. The fact is certain that perineal abscess did exist; and it is equally certain that the most decided symptoms of this mischief only appeared after the potash had been freely applied on two separate occasions. Nevertheless, there were some sympt...
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