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May 16, 1885


JAMA. 1885;IV(20):545. doi:10.1001/jama.1885.02390950013003

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Incision and Drainage in Hepatic Abscess.  Mr. G. W. Ridley reports the case of a sailor, suffering with abscess of the liver, who came under the care of Mr. Crisp. He had already been aspirated once, and about a pint of pus was drawn off. Mr. Crisp made a free incision, passed a director into the abscess-cavity, the tissues over the most prominent part of the fluctuating mass were freely divided, and more than a pint of chocolate-colored matter was evacuated. A very large drainage tube was then introduced, which penetrated to a depth of about five inches, and a dressing of oakum was applied. The discharge was very profuse at first, and it was necessary to change the dressings twice a day for the first three days; at each dressing the cavity was washed out with a solution of boracic acid. After this the discharge lessened considerably, and

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