STRANGULATED HERNIA REDUCED BY FRIGHT
1
7 The foitrih trial consisted in a written composition, which was to be delivered within a fortnight, and printed at the ex- pense of the Administration. Each candi- date drew his subject from an urn, and afterwards defended his thesis in the pre- sence of the jury. The fifth and sixth examinations took place in the Amphitheatre de la Pitie, and consisted in operations on the subject, viz., on the 26th of February, the exarticulation of the arm at the elbow-joint, and the liga- ture of the exfernal iliac; and on the 30th of March, the extraction of cataract irz the right eye, and the liaature of the anterior tibial artery, at the upperpcart of the leg. At the termination of the " concours," M. Berard was unanimously elected, and, as it seemed, to the general satisfaction of the medical public. The journals, La Clinique and La Lan- cette Française, contain detailed reports of the respective examinations, so that there can be no doubt of their being perfectly public. AMPUTATION OF THE ARMS OF A CHILD DURING LABOUR. Much sensation has lately been excited amongst the medical public in France, by the trial of Dr. Helie, of Chenu, in the Department de l’Orne, for alleged improper treatment of a case of labour, in which both arms presented, and the mother, after ’i’4 hours’ ineffectual pains, appeared to be in imminent danger; the child having, during the last ten hours, exhibited no signs of life, and the arms, being violently compress- ed by the os uteri, were swelled, livid, and in a state approaching to gangrene. Dr. Helie, having in vain endeavoured to turn the child, resorted to, what appeared to him, the only means of saving the mother’s life, viz., amputation of both arms. After the operation, the child was readily born ; it was alive, and survived the mutilation the wounds which, according to H.’s asser- tion, emitted not a drop of blood either dunng or after the operation, were simply dressed and speedily healed. The parents of the child brought an action against Dr. Helie, but the Tribunal professed its in- competence to decide on the case, and applied to the Académic Royale de Méde- cine, which referred the matter to a com- mittee, consisting of five of its members.* The first report which they made was de- cidedly unfavourable to Dr. Helie ; it, how. ever, met with much opposition when com- mumcated to the Academie, and was re- turned to the committee for reconsideration. * MM. Desormeaux, Deneux, Gardien, Moreau, Adelon. The second report, although not so severe, was also against Dr. Helie; and the third report, which was to be considered as de- cisive, was expected on the 12th of March, when a long discussion on the subject was anticipated in the Academie. As far as appearances go, it seems that the practi- tioner was certainly very blameable, and that the decision of the Academic, and, con- sequently, the verdict of the Tribunal, will be against him. STRANGULATED HERNIA REDUCED BY FRIGHT. The Journal of Rust, (vol. xxvi. p. 107,) contains the history of an individual, affect- ed with strangulated hernia ; in whom re- peated attempts at reduction having been ineffectual, the operation was to be per- formed ; but when it was proposed to the patient, he was so friglitened at the very mention of it, that the intestine sponta- neously receded. REMARKABLE CASE OF ILEUS. Professor Lobstein, of Strasbourg, has lately published a valuable work on morbid anatomy,* from which we extract the fol- lowing interesting case of intussusception. A peasant girl, of about 30 years of age, living at Kehl, near Strasbourg, was, with- out any apparent cause, seized with the most violent symptoms of ileus, which, al- though very judiciously treated, continued for about a fortnight ; after this period the patient, who was evidently in a dying state, had a copious stool, by which she felt great- ly relieved; the most dangerous symptoms speedily disappeared, and she ultimately re- covered. On examining the evacuated mat- ter, a long piece of intestine was found in it, which was subsequently sent to the author ; it was three feet in length, had its mesen- tery attached to it, and was formed of all the three membranes, which could be easily separated from each other ; it was of a dark coiour, but not gangrenous, or softened : the internal lining exhibited some ulcerations. The intestine was perfectly pervious, and had been divided at both ends obliquely. The piece of mesentery attached to it was of a white colour, and contained fat between its two laminae, on separating which, the blood-vessels were found changed into whitish filaments : no traces of lymphatic vessels could be discovered. Nearly five months after the above attack, the patient died from indigestion, as it appeared ; and after having a few hours before death been Trait d’Anatomie Pathologique, par T. F. Lobstein, Prof. de Clin. int. etc. tome ler, in 8vo. avec planches. Paris, 1829.
Transcript of STRANGULATED HERNIA REDUCED BY FRIGHT
7
The foitrih trial consisted in a written
composition, which was to be deliveredwithin a fortnight, and printed at the ex-
pense of the Administration. Each candi-date drew his subject from an urn, and
afterwards defended his thesis in the pre-sence of the jury.The fifth and sixth examinations took
place in the Amphitheatre de la Pitie, andconsisted in operations on the subject, viz.,on the 26th of February, the exarticulationof the arm at the elbow-joint, and the liga-ture of the exfernal iliac; and on the 30thof March, the extraction of cataract irz theright eye, and the liaature of the anteriortibial artery, at the upperpcart of the leg.At the termination of the " concours,"
M. Berard was unanimously elected, and, asit seemed, to the general satisfaction of themedical public.
The journals, La Clinique and La Lan-cette Française, contain detailed reportsof the respective examinations, so that therecan be no doubt of their being perfectlypublic.
AMPUTATION OF THE ARMS OF A CHILD
DURING LABOUR.
Much sensation has lately been excitedamongst the medical public in France, bythe trial of Dr. Helie, of Chenu, in the
Department de l’Orne, for alleged impropertreatment of a case of labour, in which botharms presented, and the mother, after ’i’4
hours’ ineffectual pains, appeared to be inimminent danger; the child having, duringthe last ten hours, exhibited no signs of
life, and the arms, being violently compress-ed by the os uteri, were swelled, livid, andin a state approaching to gangrene. Dr.Helie, having in vain endeavoured to turnthe child, resorted to, what appeared to
him, the only means of saving the mother’slife, viz., amputation of both arms. Afterthe operation, the child was readily born ;it was alive, and survived the mutilationthe wounds which, according to H.’s asser-tion, emitted not a drop of blood either
dunng or after the operation, were simplydressed and speedily healed. The parentsof the child brought an action against Dr.Helie, but the Tribunal professed its in-
competence to decide on the case, and
applied to the Académic Royale de Méde-cine, which referred the matter to a com-
mittee, consisting of five of its members.*The first report which they made was de-cidedly unfavourable to Dr. Helie ; it, how.ever, met with much opposition when com-mumcated to the Academie, and was re-turned to the committee for reconsideration.
* MM. Desormeaux, Deneux, Gardien,Moreau, Adelon.
The second report, although not so severe,was also against Dr. Helie; and the thirdreport, which was to be considered as de-cisive, was expected on the 12th of March,when a long discussion on the subject wasanticipated in the Academie. As far as
appearances go, it seems that the practi-tioner was certainly very blameable, andthat the decision of the Academic, and, con-sequently, the verdict of the Tribunal, willbe against him.
STRANGULATED HERNIA REDUCED BY
FRIGHT.
The Journal of Rust, (vol. xxvi. p. 107,)contains the history of an individual, affect-ed with strangulated hernia ; in whom re-
peated attempts at reduction having beenineffectual, the operation was to be per-formed ; but when it was proposed to the
patient, he was so friglitened at the verymention of it, that the intestine sponta-neously receded.
REMARKABLE CASE OF ILEUS.
Professor Lobstein, of Strasbourg, haslately published a valuable work on morbidanatomy,* from which we extract the fol-lowing interesting case of intussusception.A peasant girl, of about 30 years of age,living at Kehl, near Strasbourg, was, with-out any apparent cause, seized with themost violent symptoms of ileus, which, al-
though very judiciously treated, continuedfor about a fortnight ; after this period thepatient, who was evidently in a dying state,had a copious stool, by which she felt great-ly relieved; the most dangerous symptomsspeedily disappeared, and she ultimately re-covered. On examining the evacuated mat-ter, a long piece of intestine was found in it,which was subsequently sent to the author ;it was three feet in length, had its mesen-
tery attached to it, and was formed of allthe three membranes, which could be easilyseparated from each other ; it was of a darkcoiour, but not gangrenous, or softened : theinternal lining exhibited some ulcerations.The intestine was perfectly pervious, andhad been divided at both ends obliquely.The piece of mesentery attached to it wasof a white colour, and contained fat betweenits two laminae, on separating which, theblood-vessels were found changed intowhitish filaments : no traces of lymphaticvessels could be discovered. Nearly fivemonths after the above attack, the patientdied from indigestion, as it appeared ; andafter having a few hours before death been
Trait d’Anatomie Pathologique, parT. F. Lobstein, Prof. de Clin. int. etc.
tome ler, in 8vo. avec planches. Paris,1829.
