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272 l ric ;c...,c,.. ...
he Waited until aline of demarcation was formed at the next j
'joint and the mortified part separated itself from the limb of'l
its own accord* In the treatment of fracture of the thigh.1
he employed long-continued extension of the limb which he
sought to effect by means of a weight suspended to a cord
which ran over rollers.t The bandages which were used to
apply to broken extremities were smeared with white of,,
egg which after coagulating gave fixation—of a kind—to',-1
the limb.J The cesophagus-tube was known and was
used for artificial feeding.§ Fistulae were enlarged by
gentian root or converted by the knife into open wounds.||
In the operation for rectal fistula JOHN ARDERN enjoyed a
great reputation.^ Ruptures were treated by long-continued
lying on the back or by trusses.** Herniology
underwent essential improvement at the hands of GuiDO
DE CAUL1ACO who distinguished the various forms of
* hernia according V the outlet involved, and separated!
varicocele, hydrocele and sarcocele from hernia of every,
kind.tt Endeavours were made to effect the radical cure by
cauterizing the outlets after the replacement of the pro.
lapsed intestine. The removal of the testis which was
resorted to in scrotal hernia was only undertaken by the,
wandering empirics: .Even lithotomy, which was performed!
after the method of CELSUS, lay in the hands of specialists j
of this kind. In strictures of the urethra bougies of wax,
tin or silver were employed. In diseases of the bladder^
and in gonorrhoea JOHN ARDERN ordered injections^ Cer^l
tain descriptions of ulcers and gangrenous destruction of|
* Id. op. cit. tr. vi, d." I, c. 8. j
+ Id. op. cit. tr. v, d. i, c. 7 (adpedem ligo pondus plumbo transeundo ckordam^
super parvam polfgeam'; itaque tenebit tibiam in sua longitudine.)
X Id. op. cit.tr. v, d. i, c. i.
§ M. C. BROEKX : La Chirurgie de M. J. YPERMAN in the Annal. de 1 acad.
d'arche'ol. de Belgique, Anvers 1863, p. 128-326.
|| G. DF. CAULIAC op. cit. tract, iv, d. 1, c. 5.
If A. GORE in the Dublin Journal of Medical Science, 1883, p. 269 et seq. ' |
** BROEKX : YPERMAN op. cit., p. 178.
tt G. DE CAULIAC op. cit. tr. vi, d. 2, c. 6, 7.—E. ALBERT : Die Herniologie'd.
Alten, S. 161 et seq.