Directory_and_Chronicle_1850 — Page 304

1350.

Report of the Ophthalmic Hospital.

269

and carried over the tumor on the trachinl side, and lay imbedded in a groove, to which its sheath was found to adhere. The jugular vein was separated from the others for four inches, and lay on the opposite cervical side. On the 10th January, assisted by Dr. Marjoribanks, and Dr. Startin of H. C. steamer Phlegethon, and the Rev. Mr. Speer, the tumor was extirpated. The operation was commenced with the endea- vor if possible not to divide the artery, but although it was superficial for the first three or four inches from the clavicle, at the point at which the external and internal branches divide, both branches dipped into the tumor itself, and the external was opened in the progress of the dissec- tion. However the hemorrhage was in a great measure commanded by pressure, while the primitive carotid was ligatured. The divided branches also required a ligature. On resuming the dissection, the tumor on the cervical side was punctured, when a dark sanious fluid gushed forth, causing one of the gentlemen assisting to exclaim that "the jugular was opened," but immediately it was perceived that the tumor collapsed, and that it was a portion of its fluid contents that had escaped. The tumor was found firmly attached to the ramus and angle of the jaw, by an almost cartilaginous union, which was severed by the scalpel. The operation was a severe one, and the loss of blood con- siderable. The patient, however, rallied very well, and passed as com- fortable a night as could be expected under the circumstances. Some tumefaction took place in the course of the night, below the clavicle, and the patient suffered from cough, either from catarrh occasioned by exposure and the application of cold water during the operation, or from sympathy of the parts, and it was some weeks before she recover- ed her natural voice. She complained chiefly of a sense of coldness on the right side of the face and head. Two of the smaller ligatures came away in about sixteen days, but the principal one not until the thirtieth. The patient was discharged in about six weeks. She has several times revisited the hospital; has recovered her voice, and re- gained in a great measure the natural feeling in the right side of the head, and is in good health.

No. 30,087. Dec. 11th, 1848. Molluscum pendulum. Cháng Shin, æt. 49, of the district of Nánhải, had his face and person covered with mollusca, the cutaneous protuberances varying from the size of buck- shot to that of an ounce bullet, but upon the left arm there was one of an oblong oval shape extending above and below the elbow, about one foot in circumference. It was perfectly superficial, and was successful- ly removed by Kwán Atò,