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GERMAN SOCIETY OF SURGERY. [Medical News ment of a wound generic inderal was, if the wound came to the surgeon within the limited lime to freshen the edges and stitch the wound. But if the wound was older than this it should be treated after the open method. Dr. Noetzel of Konigsberg repeated Schimmelbusch's experiments and buy inderal confirmed his results, showing that bac- teria were absorbed very rapidly from fresh wounds. Ten minutes after infecting a inderal tablets wound with anthrax bacilli, they could be found in the body. Still he thought this rapid absorption might be Nature's means of self-pro- tection. Dr. Schloffer of Prague found bacteria in wounds which healed by first intention. He believed from ex- periments that the secretions of healthy wounds were toxic to bacteria. The next subject for discussion was LOCAL ANESTHESIA. Dr. Hackenbruck of Wiesbaden advocated one- fourth per-cent. cocain-eucain solution. It should be in- jected warm and the part should, if possible, be rendered bloodless by an elastic ligature. Schleich's solutions were not successful in his hands. Dr. Braun of Leipsic advocated Schleich's mixture with the omission of its morphia. He thought the sub- sequent edema so frequently seen to be due to the action of morphia on the blood-vessels of the part. There still remained much room for improvement in local anes- thesia. Dr. Rubenstein propranolol hydrochloride 80 mg for anxiety of Berlin said that he found Schleich's without additions or omissions the best solu- tion. He has done with it a number of operations on joints, especially the knee. He has also done bone oper- ations where the tuberculous process was not very exten- sive, and claimed that infiltration of the periosteum with the anesthetic was sufficient since the bone itself was not sensitive. In the general discussion it seemed to be pretty well agreed that Schleich's local- anesthesia solutions were the best and most useful combinations yet suggested. They did not wish the morphia omitted, and eucain had but the one advocate. The morning of the second day was devoted to SURGERY OF THE STOMACH AND INTESTINES. Professor Kroenlein of Zurich detailed the now famous case of total buy cheap inderal extirpation of the stomach done by his assistant Dr. Schlatter. The speaker insisted that this case was so far unique, though the American jour- nals did say the contrary. He announced that the patient was in excellent health, and had gained thirteen pounds since the operation. She can take any ordinary nourish- ment and her digestion seems not at all impaired. In sixteen resections of the stomach which purchase propranolol online he has done during the last ten years for malignant disease inderal price only order inderal two died as a result of the operation, though inderal online six died later from recurrence. Dr. Schuchardt online propranolol of Stettin described a case of al- most total extirpation of the stomach in which he was surprised to find no disturbance of digestion. The patient lived for over two years, and then died of pleurisy. The post-mortem revealed complete regeneration of the stomach. The speaker inderal cost exhibited the specimen of the re- generated stomach which looked like a normal organ. Dr. Loebker of Bochum stated that he had seen cases where operators thought they had removed the en- tire stomach, but on post-mortem within a few days they found most of it remaining. There were cases of hour- glass contraction of the stomach and under such circum- stances one might easily be deceived. Professor Kronlein insisted that in the Zurick case there was no such error made, that the esophagus was actually attached to the duodenum. Professor Mikulicz said that in operating on malig- nant neoplasms of the stomach the surgeon must not be afraid of doing a radical operation. He must re- move everything that seems to be involved. Consequently before attempting such an operation he should know his technic thoroughly, and be sufficiently grounded in an- atomy and pathology to know where to look for involve- ment. His method of completing the operation in buy inderal online a case cheap inderal of resection is to close the end of the duodenum by stitches, completely stitch the hole in the stomach and making a new opening in both, join them by order inderal online a button. Dr. Doyen of Paris exhibited something new in the technic of stomach and intestinal operations. In order to do a bloodless operation (it also renders the operation more aseptic) he uses a clamp by means of which he crushes the walls of the intestine or stomach before cut- ting into it. The clamp is the large instrument which is used by gynecologists for clamping the broad liga- ment. Professor Hahn read his purchase inderal own statistics of 141 gas- troenterostomies and 28 of resection with gastroenter- ostomy. Of these 28, 10 died as inderal mg a result of buy propranolol the operation. In 4 cases in which the patients were past 60 years of age all died, while of 12 cases between the ages of 40 and 50 only 2 died. This led him to believe that in old people the prognosis was extremely unfavorable. He recommended in case the patient was extremely feeble the doing of the operation in two stages, first perform a purchase propranolol gastro-enterostomy and later do the resection. purchase inderal online Dr. Stendel of Heidelberg gave the statistics of the Heidelberg clinic. He said that in cases of non-malig- nant stricture of the pylorus they did not dilate, but did

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