Word: distallation
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Dates: during 1936-1936
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...operations, explained Dr. Freeman, this instrument "is inserted in the anteromedial [front and centre] direction to a depth of four centimetres below the surface of the cortex. The stylet is pressed in, forming a loop near the distal end of the instrument. The leucotome is rotated through one complete circle, cutting a sphere or core of white matter in the pre-frontal area about ten millimetres in diameter. The stylet is withdrawn a few millimetres thus replacing the loop within the cannula. A second core is cut at a depth of three centimetres and a third at two centimetres...
...Above and below the embolus he applies soft rubber-covered clamps to the artery. Over the embolus "a longitudinal incision, 0.5 to 1 cm. long, is made. The mass is expressed by the fingers without difficulty and the lower clamp is removed to allow return bleeding to flush the distal [away from the heart] segment and similarly the proximal [toward the heart] segment is flushed and the clamp reapplied. With fine oiled silk suture on arterial needles, the incision is closed, and the clamps are removed. ... If successful, the color, temperature, anesthesia and paralysis improve promptly...