The Dallas weekly herald. [volume] (Dallas, Tex.) 1873-1885, 1884-10-30
Through f0BE
4 oarhr sU7oloAl OPERATION
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Aln,rl Austin, nv lqycaroId wv y.

AihNrt AuHllut the NNthfuIu A'l GOT
rts "u.I-.lHr %. %, Au.'IH, ~ Ws'lIul
m.l. D,rJpt,ui rL... mo- lNs srt u'
blowing a pan through un tul', ON
-.ut,mu-g7 2, laughed and drHW Geo pin
from tbv tube into his throat, Holm
modiatsly began 20 cough violently, aud
II wRs feared that loo would choke 'u
death before the arrival 81 q physician,
when the physician cauo Rae MuIH nH
attempt 90 remove the pin HliN iuT,uIrr
but in so doing IL was forced ur passed.
through the wipdpipo Into the hron-
ghlAl tubes, Tho boy bad o. IueUt ITS
al coughing Ina consequence ui mo
efforts ~ nature 10 remove Che Tor
eign substance, eNpccturtttt WIrus
continually, vomiting after taking Root,
aud upon one occasion threw up "a 500 90
quantity % blood, He did not spE any
hluod, how over, which WAS cou- tered g
favorable sign. The boy WH- no mir
health, well uouri,hod, and ypWpiuiurl
only Of a constant, irritating uuugu'
which, however, was without pain. HE
appetite remained good, but tha -,uN-
ach rejected all food. A consultation OF
all the local physicians was held aHi "a
further attempt WAS made 10 remove the
min, without success, and 10 w. .ually
determined that II would require q sur
gical operation to extract 10, aud the boy
was taken from his home tn tho Mount
Sinai hospital, In New York city, for
treatment,
Upon his arrival ~ the hospital an OK
animation was made, Respiration WAS
found 10 be weak aud his voice greatly
diminished In tone, There were slhilArl
and sOnuruuS ralos ami slight dizziness
in tho left lung, which would disappear
40 frequent intervals ana appear With
the Same intensity in the right Jung. 4
peculiar hoarSn, whistliug noise was
discovered In th. right lung, over the
middle lobO, in front, aud after minute
examination of the boys thrnat with u
laryuguscupp 10 was concluded thai the
pin had passed into the right lung aud
lodged in tho middle lobe, On Scptcm-
her l3 tho boy was taken So tie upcr-
In tho presence OF num-
her of physicians, tho attending phSsl-
clan, sfter the boys head had been
placed in position iuly 70 expose the
throat, made au igcisiOn ON the limo Of
the Windpipe, a. close 20 the breast
bone Is was consistent with safety,
about an inch aud half long, SuJ the
skin, muscles and fatty substance di-
yided. Tho operation was considerably
delayed and tho danger Increased by the
fact that the trschos wAs unusually
deep and situated TO the left 0t the me
dian line. The knife was sparingly used
| and great precautiOn taken, not TO sever
veins unnecessarily, ag there 10 always
| danger, As soon as the windpipe 10 cut,
that the blood will rush thr0ugh the
opening into she lungs aud sufucsts the
patient.
After the flesh had b,en carefully
| removed from the traches, and the
bleeding had been stopped, an insision
was made with \ quick stroke of the
kuiis trough the windpipe, and ,irect
passage opened into the lungs, lustru-
ments OF different sizes and shapes were
repeatedly passed into the tubes OF the
right lung, with tho hope OF seizing the
! pin, but it could not be found. 1t was
! then determined, after consultation, thai
| the operation be discontinued until an
| instrument adapted to this particulnl
case, drawing of which was submitted
/ by the att 'nding physician, could bc
! ia ade. A silk thread WAS then stitched
to each of the tracheal ringg and
| intaguments on either side d
tho passage, and left of sur
ficient length to afford means o
opening the tracheal lncisiOn when nee
essary. Catgut stitches were also takeI
in the skin, and bandages Of gauae were
! also applied to the wound. The opera
! ton lasted about one hour and Il hatl
! The patient speedy recovered from the
shock, and suffered only from sli- A1
stomach trouble. The trache1l wOduu
was kept open by repeatedly stuiling ii
with gau2c. The only signs in the lung
were sonorous, si0ilant r4ios on both
sides.
| On September %, the boy was agar
chloroiOrmcd. A double tube, one
| iitbing closely inside the other, SO as tt
allow the inner one to be removed and
any mucus that might accumulate
! TO be taken out, was introduced
! tArough the opening into the windpipe,
! to afford greater facility for breathing
! The tube fitted the opening exactly, 50
! as TO prevent all foreign matter from
passing into the lungs. Shortly after
tho tube was inserted the boy was seized
with violent tit Of spasmOdlc cough
ing, during which tae lark seemed 10
close entirely, tho patient got black III
the face and was in danger OF sutlOca,
! ton. The tube WAS quickly removed
aud the boy turned over upon his right
| side. He was sOou seized with another
| fit Of coughing, and during an extra vi
! client Spasmodic effort the pin was e1'
pelled with considerable force through
the larynI and out OF the mouth. The
| wound in tho throat was then closed
and dressed with "A specially prepared
iodiio M cause. The boy recoV
with remarkable rapidity, and two days
later was discharged cured and SOM
| homo.
| Some ono has declared concoIt worse
than consumption, and the coupari4ot
| ia "a trIa pua MANY are tho HgOuCpIteu'