The clotting time was five minutes, bleeding time one minute. The leucocytes numbered, and the erythrocytes, the hemoglobin.

August.

because the enlargement the spleen and the little benefit from transfusion, splenectomy was The patient was the operating table fifty minutes.

A high left rectus incision was made and the small bowels packed off. The renal and diaphragmatic attachments were loosened and the lower pole the spleen brought out. The spleen was closely attached the greater curvature the stomach.

There were no adhesions the dia jhragm except the essay paper writers ligaments and the kidney.

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The pedicle containing the vessels was long.

The ligature the pedicle was begun at the lower pole and carried onto the stomach attachment. The blood clotted rapidly, but oozing continued from vessels beneath the clots.

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The blood appeared darker than normal, and there was general oozing everywhere.

Hot packs were placed in the splenic bed and allowed remain there while an effort was made remove the accessory spleen. This was almost completely destroyed, but not all removed.

write my essay affordable At the beginning the operation the pulse rate was after the operation was completed was The spleen was about, weighed, and was soft in consistency. The liver appeared crinkled and felt firm. The gall-bladder academic essay services collapsed easily, and its walls were thickened. Just at the lower pole there was an accessory spleen about. Microscopic sections spleen showed some increase interstitial fibrous tissue and numerous blood sinuses, the spleen pulp help with writing research papers no longer arranged in definite lymph tissue formation. No red blood cells seen in numerous blood sinuses, only red blood cells seen were those in definite blood vessels. If one did not know the tissue, would at a loss distinguish its histology. The bleeding stopped for several hours after the operation, but the patient seemed in a very critical condition. Immediately after the operation a transfusion citrated blood was given. dissertation writers in london Seven hours after the operation the clotting time vas five minutes, the leucocytes numbered, blood platelets were estimated as still very scarce. August, there was bleeding from the nose and mouth.

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