The American journal of roentgenology, radium therapy and nuclear medicine (1906) (14571284518)
Summary
Identifier: americanjournalo10ameruoft (find matches)
Title: The American journal of roentgenology, radium therapy and nuclear medicine
Year: 1906 (1900s)
Authors: American Radium Society American Roentgen Ray Society
Subjects: Radiotherapy X-rays
Publisher: Springfield, Ill. C.C. Thomas
Contributing Library: Internet Archive
Digitizing Sponsor: Internet Archive
Text Appearing Before Image:
f the surroundingtissue is screened with lead foil one is sure toget the action in exactly the place desiredinstead of half an inch below . AN INSTRUMENT FOR THE LMPLANTATION OF BARERADIUM EMANATION TUBES INTO THE TISSUES BY WILLIAM NEILL, JR., M.D.Associate Surgeon, Howard A. Kelly Hospital BALTIMORE, MARYLAND NUMEROUS instruments have beendevised for permanent implantation ofbare glass radium emanation tubes intothe tissues. In 1920 Dr. Robert M. Lewis(at that time an associate at this hospital)had made an instrument for implantingthese tubes into the female bladder throughthe Kelly aero-cystoscope. This instrumentwas similar in principle to the ones shown The first type is applicable for all oral,intravesical, vaginal and rectal cases.The second is so curved that all intralaryn-geal growths can be accurately im-planted. The third is curved at the endand can be used with accuracy in a num-ber of cases for implanting tumors of thenasopharynx. At the time of treatment it is preferable
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here, but owing to mechanical difficulties,it did not prove practical. A short timeafterwards, I had three types of instru-ments made for this purpose by theGeorge P. Pilling and Son Company ofPhiladelphia, Pa., which have been entirelysatisfactory. A steel cannula with a needle point 2cm. long and 2 mm. in diameter is attachedto a large handle placed at an angle whichaffords a good grip and a finger catch forcounter pressure against the thumb push.The radium tubes are ejected from theneedle into the tissues by means of a styletrunning the entire length ol the instrument. to ha\e the desired number of instrumentspreviously prepared to facilitate the im-plantation in order that it will not be nec-essary to rethread the same instrument anumber ot times. It is important that the point of eachinstrument be dipped into sterile boricointment or vaseline immediately afterthe emanation tube has been threadedinto it. This acts as a good adhesive plugand prevents the dislodgment of the tubeprio