Part 62
Primary amputation, advantages of, 59. not required in gunshot wounds of the upper extremity, 120.
Profunda femoris, ligature of, 261. wound of, 573.
Protrusion of bone after amputation, 89. of the brain, 352.
Pulpous form of hospital gangrene, 166.
Purulent deposits, 61, 68.
Quekett, Mr., experiments on the anatomy of the parts engaged in empyema, and the operation by incision, 452. on the structure of the agminated glands of Grew and Peyer, 486.
Radial artery, wound of, 238. ligature of, 282. wound of, in the hand, 238. operation for, 282.
Ramdohr on the treatment of divided intestine, 507.
Ravaton on protrusion of omentum in penetrating wounds of abdomen, 501.
Rectum, wounds of, 555.
Removal of the head of the femur, 90. and neck of, in gunshot wounds of, 150. os calcis, 104. astragalus and calcis, 115.
Respiration, the four movements of, 285. distinction of sounds during, 367.
Respiratory murmur, 367.
Rhoncus crepitans, 370, 375.
Ribs, fracture of, in gunshot wounds of the chest, 428. the cartilages of, 429.
Roux’s amputation of the foot, 108.
Rupture of the heart, 472. ventral, 488, 493. of intestine, by violence, 491. of the solid viscera, by violence, 493.
Scalp, immediate and secondary tumors of, 341. wounds of, 361. erysipelas of, 359, 363.
Sciatic artery, ligature of, 259.
Scrotum, erysipelas phlegmonodes of, 42.
Secondary amputations, 59, 141. in gunshot wounds of the femur, 145. hemorrhage, 208. tumors of the scalp, 341.
Shock or constitutional alarm, 26.
Shoulder-joint, gunshot wounds of, 120. amputation at, 122.
Sight, loss of, from a musket-ball traversing the forehead, 350.
Sinuses, frontal, gunshot injury to, 350.
Sinuses, longitudinal and lateral, wounds of, 351.
Skielderup’s operation for opening the pericardium, 469.
Skull, simple fissure or fracture of, 311. fracture of, by contre-coup, 316. the inner table of, 321, 324, 328. depression of, 329. and fracture of back part of, 338. gunshot wounds of, 346, 584. balls separating the sutures of, 349. removal of a large portion of, 359.
Sloughing stumps, hemorrhage from, 71. form of hospital gangrene, 166. ulcer, 164. wounds, use of mineral acids in, 70.
Snow, Dr., on chloroform, 55.
Solitary glands, 487.
Sounds, distinction of, in respiration, 367. of the heart, 465.
Spermatic cord, wounds of, 539.
Sphacelus, dry, from wound of main artery of lower extremity, 45, 226.
Spine, effects of strychnia in injury of, 574.
Spleen, wounds and injuries of, 536. removal of, 538.
Splints for fractures, 153.
Splinters, removal of, from a wounded lung, 445.
Statham’s operation for removal of astragalus, 110.
Statistics, hospital, of operations, 158. Burdach’s, of lesions of the brain, 306. of ligature of common carotid, 241.
Stomach, mucous membrane of, 485. wounds of, 533. gunshot wounds of, 535. fistulous opening in, after gunshot wounds of, 535. knives in, 535. operation for the removal of, 536.
Structure of arteries, 176. of intestine, 482.
Strychnia, effects of, in injury of the spine, 574.
Subclavian, ligature of, 274. above the clavicle, 276.
Suppuration on the surface of the dura mater and brain, 342.
Suture, continuous, for wounded intestine, 508. for incised wounds in abdominal parietes, 493.
Sutures of the skull, separated by a ball, 349.
Syme, Mr., amputation at the ankle-joint, 105. on the treatment of approaching death from chloroform, 58.
Tarsus, amputation at, 112.
Taylor, Deputy Inspector-General, on hospital gangrene, 171. on amputations under chloroform, 54, 562. on wound of the larynx, 572. on the privations endured by the British soldiery in the Crimea, and their effects, 562.
Testicle, removal of, after a wound, 539.
Thigh, amputation of, by the circular incision, 83. by Luke’s flap operation, 86. arm and abdomen, extensive injury to, 576. gunshot fractures of, 579, 587.
Thumb, excision of metacarpal bone of, 140.
Tibia, amputation of the leg below the tuberosity of, 102.
Tibial artery, anterior, ligature of, 268. posterior, ditto, 266.
Tice, Dr., on hospital gangrene, 165.
Tongue, wounds of, 481.
Trant’s forceps for artificial anus, 528.
Traumatic aneurism, formation of, 214. gangrene, 42.
Travers’s experiments on intestine, 506.
Trephine not applicable in simple fracture of the skull, without depression, 312. manner of applying, 358. use of, at different periods, 327. frequent application of, 359.
Trochanter, head and neck of the femur, excision of, 564.
Tumors, immediate and secondary, of the scalp, 341.
Typhoid pleuritis, 390. pneumonia, 388.
Ulnar artery, ligature of, 281. wound of, 238, 281.
Valvulæ conniventes, 483.
Veins, inflammation of, 60, 62. Mr. Hunter on, 70. Mr. Henry Lee on, 70. Dr. Hughes Bennett on, 71.
Velpeau on wounded arteries of the neck, 246.
Ventral rupture, 488, 493.
Vertebral artery, wounds of, 242. ligature of, 248.
Vesicular, or respiratory murmur, 367.
Viscera, rupture of, 491. protrusion of, in penetrating wounds of the abdomen, 498.
Wakley, Mr. T., removal of os calcis and astragalus, 115.
Walker, Dr., on hospital gangrene, 170.
Wounded, bearers for the, 156.
Wound by a musket-ball, 25. shock or alarm after, 26.
Wounds of entrance and exit, made by a musket-ball, 27, 489. from flattened balls, pieces of shell, etc., 28. gunshot, formation of sinuses in, 31. extraction of ball and other foreign substances, 32. gunshot, the bone struck or penetrated, not broken, the ball lodging, 36. of the skull, 346, 584. of the forehead, causing loss of sight, 350. of the frontal sinuses, 350. by a bayonet thrust, 37. of the neck, with hemorrhage, 242, 475. of the larynx, 571. Deputy Inspector-General Taylor on, 572. of the orbit, 350, 583. of the longitudinal or lateral sinus, 351. of the arm, 121, 156. of the forearm, 137. of the profunda femoris, 573. of the popliteal artery, 573. of the abdomen, 488. causing abscess in paries of, 489. gunshot ditto, 489, 515. incised ditto, 490. followed by ventral rupture, 493. penetrating, 497. followed by protrusion of viscera, 498. of omentum, 498. of intestine, 504, 508. punctured ditto, 504, 509. of the chest, 364. non-penetrating, 364. incised, 364, 414. of both sides of the chest, 417. large, penetrating, of the chest, the lung being injured, 418. of the chest, conclusions respecting, 424. gunshot of the chest, 426. statistics of, 426. fracture of the ribs in, 428. costal cartilages in, 429. of the lung, 429. diaphragm, 458. heart, 464. internal mammary and intercostal arteries, 473. face, 476. eyelids and brow, 477. eye, 477. nose and ear, 477. penetrating, of the bones of the face, 479. of the parotid gland and duct, 479. upper jaw, 479. lower jaw, 480. of the head and neck of femur, 150. of the knee-joint, gunshot, 94. of the patella, ditto, 95. of the leg, 154. of the foot, 107. of the tongue, 481. of the liver, 528. of the gall-bladder, 530. of the stomach, 533. of the stomach, gunshot, 535. of the spleen, 536. of the kidney, 538. of the spermatic cord and testicle, 539. of the penis, 540. of the pelvis, 541. gunshot, of the bladder, 546. of the rectum, 555. of the abdomen and pelvis, conclusions respecting, 555.
Wrist, amputation at, 138.
INDEX OF CASES.
A soldier, wounded in the thigh, the ball passing between the femoral artery and vein, 26.
Generals Sir Lowry Cole, Sir E. Packenham, and Colonel Duckworth; injuries to arteries, 26.
Colonel Sir W. Myers and General Sir R. Crawford, illustrating the shock of a severe wound, 26, 27.
Colonel Ross; musket-shot wound of arm: gradual descent of the ball to the elbow, 36.
Erysipelas phlegmonodes of the left arm, treated by incisions, 41.
Local mortification of a leg struck by a cannon-shot, the internal textures being destroyed, 43.
Section of the brachial plexus of nerves by a gunshot wound, causing paralysis, complicated by gunshot wound of the knee-joint, requiring secondary amputation, 47.
Sir James Kempt; injury to a nerve, 48.
Admiral Sir Philip Broke; wound of skull, with paralysis, 48.
Brigade-Major Bissett; gunshot wound, injuring the left great sciatic nerve, perineum, and rectum, 49.
Mr. Wrottesley, of the Engineers; right thigh shattered by a cannon-shot, etc., 53.
An East Indian; severe wound of left thigh from the explosion of his gun; amputation, death, 53.
A soldier of the siege train before Sebastopol; the left thigh nearly carried off by a cannot-shot, 54.
Purulent deposit, after amputation, 61.
Phlebitis, 64.
Jane Strangemore; amputation of limb for white-swelling of the knee-joint; fatal phlebitis, 64.
Endemic fever, after secondary amputation, with subacute pneumonia, 67, 68.
Sloughing of a spear-wound of the arm, 69.
Captain Flack; cannon-shot wound of left thigh, 77.
Excision of the head and neck of the femur, 94.
Colonel Donnellan; musket-shot wound of knee-joint, 96.
Excision of knee-joint, by Dr. Gurdon Buck, 97. by Mr. Jones of Jersey, 97, 98.
Amputation of the foot, by Roux’s operation, 108.
Ball lodged in the astragalus, 110.
Excision of the astragalus and calcis, 115. head of the humerus, a musket-ball having lodged in the bone, 128, 131.
Gunshot wounds of the shoulder-joint, 131, 132.
Lieutenant Timbrell; gunshot fracture of both thighs; recovery without amputation, 149.
Illustrative of the means used by nature for the suppression of hemorrhage, 194.
Illustrative of gunshot wounds of the femoral artery, 196, 208.
Ligature of the right common iliac artery, for supposed gluteal aneurism, 206.
Punctured wounds of arteries, 210.
Colonel Fane; wound of carotid by an arrow; formation of an aneurism, 211.
Scythe wound of the femoral artery, 213.
Wound of femoral artery with a pen-knife; closure of wound; formation of traumatic aneurism, 215.
Gunshot wound of the thigh; severe hemorrhage finally arrested without ligature of the artery, 216.
Don Bernardino Garcia Alvarez; gunshot wound of the thigh; hemorrhage from a deeply-seated vessel; ligature of the common femoral; fatal mortification. The femoral artery quite sound, 218.
Duckshot wound of thigh; closure of wound; aneurismal swelling punctured; hemorrhage; ligature of femoral high up; death, 218.
Captain Seton; gunshot wound of upper part of thigh; hemorrhage from a superficial branch of the femoral; ligature of the external iliac; fatal peritonitis; errors in the treatment, 219.
Dry gangrene, from injury to the main artery of the lower extremity, 227. following an injury to the popliteal space; large incision in the calf, evacuating a quantity of coagulated blood; subsequent separation of the limb, 228.
Gunshot wound of the posterior tibial artery; secondary hemorrhage and traumatic aneurism; ligature of the femoral artery, renewal of the hemorrhage, amputation, death, 230. of the peroneal artery, hemorrhage and formation of an aneurism; ligature of the wounded vessel; recovery, 231.
Axillary aneurism from a bruise; ligature of the subclavian; rupture of the sac; death, 236.
Shell injury; amputation of right leg and arm; secondary hemorrhage; ligature of the subclavian near the seat of the bleeding, 237.
Wounds of the vertebral artery, recorded by Breschet, Chiari, Ramaglia, and Maisonneuve, 242.
Wound of the external carotid during an operation; utter insufficiency of one ligature, 244, 245.
Gunshot wound of head, face, and neck; injury of external carotid and its branches; partial slough of internal carotid; ligature of latter vessel; compression; recovery, 247.
Wound of internal carotid through the mouth; successful ligature of the vessel, 249.
Ligature of the common iliac artery, 252.
Wound of the gluteal artery; ligature of that artery and of the internal iliac; death, 260.
Wound of the popliteal artery by a mortising chisel; secondary hemorrhage; ligature of the femoral unsuccessful; cure by ligature of the popliteal, 265.
Balls lodging in the brain, 284.
Concussion in a child, 289.
Coup-de-soleil, 293.
Concussion of the brain, passing into excitement, etc., 294.
Gouty inflammation, transferred to the brain, 296.
Illustrative of the treatment of concussion, 297.
Concussion, complicated by the symptoms of compression, 298. followed by mania, 300.
Illustrative of the after-effects of concussion, 301.
Fatal paralysis, caused by compression of the brain, 307.
Illustrative of the different forms of paralysis following compression or irritation of the brain, 309.
Fracture of the skull without depression, 311.
Fracture of the skull, with injury to the middle meningeal artery, 315.
Fracture of the base of the cranium, 317.
Fracture of the inner table of the skull, without injury to the outer plate of bone, 322.
Fracture of the inner table of the skull, without injury to the outer; subsequent hemiplegia of the right side; operation with the trephine two years afterward, 323.
Illustrative of a peculiar fracture of the inner table of the skull, with a cutting instrument, 325.
Gunshot wounds of the skull and brain, the ball lodging, 331, 343, 348.
Injury to the head from a fall; large abstraction of blood, 334.
Comminuted fracture of the skull, by a piece of shell, 336.
Injury to the head, the symptoms of concussion and compression being combined, 338.
Gunshot fracture of the left parietal, with suppuration on the surface of, and in the substance of the brain, 343.
Gunshot wound of the skull, the breech-pin of the gun lodging in the brain, 348.
Separation of the sagittal suture by a fall, consequent to a gunshot wound of the body, 349.
Gunshot injury to the frontal sinuses, 350.
Wounds of the orbit, 351.
Fungus cerebri, 353.
Major D.; gunshot wound of the forehead; incomplete recovery, 357.
Loss of a large portion of the skull; reported by Dr. Drummond, 359.
Cannon-shot wound of the head and face, 361.
Wound of scalp and parietal bone, 362.
Non-penetrating wounds of the chest, 365.
Acute pneumonia and pleurisy, 383.
Dr. Wendelstadt; empyema, 398.
Mr. Winter; gunshot wound of the chest, followed by empyema, 399.
Lance and musket-shot wounds of the chest, causing empyema, 399.
Mr. Cornish; pneumothorax and phthisis, 403.
Pistol shot wound of the chest, with pneumothorax and empyema, 404.
Lord Beaumont, 407.
Sword wound of the chest, with emphysema, 412.
Wounds of both sides of the chest, 417.
Penetrating wounds of the chest, the lung being injured, 418.
Sword wounds of the chest, 420.
Penetrating wounds of the chest, with internal hemorrhage, 423.
Fracture of rib, in gunshot wound of chest, 428, 447.
General Sir Lowry Cole; gunshot wound of the lung, 430.
Illustrative of gunshot wounds of the lungs, 431.
General Sir A. Barnard, 431.
Major-General Broke, 432.
The Duke of Richmond, 433.
Mrs. M., 435.
Sir C. B.; effusion, 436.
Gunshot wounds of the lungs, with fracture of ribs, effusion, etc., 436.
Lieut.-Col. Dumaresq, 440.
A two-pound shot passing through the right side of the chest, 441.
Post-mortem appearances in gunshot wounds of the chest, 442.
Mr. Drummond, 443.
Gunshot wound of the lung; extensive enlargement of the wound; removal of splinters and of a piece of cloth, 446.
Gunshot wound of the lung, remaining fistulous; death from pneumonia seven months afterward, 447.
Gunshot wounds of the chest, the ball or other foreign body being loose in the cavity of the pleura, 448.
Major-General Sir R. Crawford, 449.
Gunshot wounds of the chest, the ball or other foreign body being inclosed in a cyst, 451.
Wounds of the diaphragm, 458.
Captain Prevost, 458.
The Duc de Berri, 469.
Lance wound of the heart and diaphragm, 470.
Latour d’Auvergne, premier grenadier de France, 472.
General Sir G. Walker; gunshot wound of the chest; secondary hemorrhage from the intercostal artery, 474.
Gunshot wound of the chest, with rapidly fatal hemorrhage from a wounded intercostal artery, 475.
Gunshot wounds of the neck, 476.
General Sir E. Packenham; twice shot through the neck, on different occasions, 476.
Lieut.-General Sir A. Leith; amaurosis from a sword wound in the forehead, 478.
General Sir Colin Halkett; gunshot wounds of the neck, thigh, and face, 479.
Gunshot fracture of the lower jaw, 480.
Colonel Carleton; gunshot fracture of the lower jaw, 481.
Captain Fritz; bursting of his gun; lodgment of the iron breech in the forehead; its descent through the nares into the mouth, 482.
Ventral rupture, the result of severe bruises or other injuries to the abdominal parietes, 488.
Severe and extensive wound of abdominal parietes from a musket-shot; exposure of the peritoneum, healing by granulations, 489.
General Sir John Elley; sabre wound of abdomen, involving the stomach, and followed by a small hernia, 490.
Rupture of intestine from external injury, 491.
Rupture of kidney and injury to the spine from a cannon-shot, 492.
Fatal inflammation of omentum, intestines, and peritoneum, with effusion, from a severe bruise inflicted by a ricochet cannon-shot, 492.
Penetrating wound of abdomen by a ramrod, 497.
Penetrating wounds of abdomen, with protrusion of omentum, 500. with protrusion of intestine, 502.
Penetrating wound of abdomen, with formation of abscess, 505.
Sabre wounds of the abdomen, with extensive hemorrhage, 510.
Sabre wound of abdomen, with suppuration in the cavity, reported by Ravaton, 512.
Strangulated inguinal hernia; operation; sloughing of the intestine, etc., 512.
Gunshot wounds of abdomen, with protrusion or injury of intestine, 516.
A Russian officer, with a gunshot wound of abdomen, a tape-worm cut in two by the ball, causing intense suffering until it was extracted, 524.
Lieut.-General Sir S. Barns; gunshot wound of the liver, 529.
Gunshot wounds of the liver and gall-bladder, 530.
In which portions of the liver have been removed, 533.
In which a pig’s tail was thrust up the rectum, 535.
In which the spleen was removed, 537.
Wounds of the kidney, 538.
Medullary sarcoma of the right testicle, involving the lumbar glands, ending fatally, caused by a gunshot wound of the testis, 540.
Gunshot wound of the penis, 540.
Pistol-shot wound in the last dorsal or upper lumbar vertebra, causing complete paraplegia, 541.
Gunshot wounds of the pelvis, 542.
The late Colonel Wade; gunshot wound, the ball passing through the ilium; lodgment of the ball for thirty-five years, 542.
The late General Sir Hercules Packenham, G.C.B.; musket-shot wound of the pelvis, lodgment of the ball, 542.
Colonel Sir J. M. Wilson; three musket-shot wounds of the left hip, one passing upward through the ilium, and lodging against or in the spine, causing paralysis of the left lower extremity, etc.; lodgment of the ball, 543.
Gunshot wound of the external and common iliac arteries, 544. of the pelvis, the ball lodging, extracted on the forty-fifth day after the wound; reported by La Motte, 545.
Captain Campbell; pistol-shot wound of abdomen; injury to spine, 545.
Gunshot wounds of the bladder, 549.
Captain Sleigh; gunshot wound of the pelvis, the ball entering the left groin, over Poupart’s ligament, and traversing the bladder obliquely; retention of urine; urethra obstructed by pieces of bone, 551.
Calculus formed around the ball in the bladder, 552.
Pistol shot wound of the bladder; retention of urine; tumor in the perineum containing bloody urine, punctured; the ball, portions of shirt, etc., extracted from the bladder; reported by Baron Percy, 554.
Captain Gordon, R. N.; rifle-shot wound on one side of the sacrum, the ball wounding the rectum, and passing out on the other side of the sacrum; paralysis of the bladder for a time; permanent partial paralysis of the lower limbs, 555.
Gunshot wounds of the rectum, 555.
CASES IN THE ADDENDA.
Amputation of finger; death caused by exhibition of chloroform, 561.
Successful amputation of the arm at the shoulder-joint, and of the thigh in the lowest third, without chloroform, 561.
Amputations while under the influence of chloroform, reported by Deputy Inspector-General Alexander, 563.
Sir T. Trowbridge; amputation of both feet under chloroform, 563.
Amputations at the hip-joint under chloroform, 564.
Excision of the head, neck, and great trochanter of the femur, reported by Mr. O’Leary, 564. reported by Staff-Surgeon Crerar, 565. reported by Dr. Hyde, 570.
Excision of the head of the humerus, reported by Dr. M’Andrew, 571.
Lieut. Evans; fatal case of wound of the larynx; reported by Dr. Gordon, 571.
Wounds of the profunda femoris, and of the popliteal artery, reported by Mr. De Lisle, 573.
Loss of the right leg by a round shot, 574.
The effects of strychnia in injury of the spine, etc., reported by Dr. Burgess, 574.
Extensive injury by a round shot to the abdomen, right arm, and thigh, reported by Dr. Rooke, of the Civil Service, 576.
Gunshot fracture of the left femur, reported by Mr. Lyons, Pathologist to the Army in the East, 579.
Excision of the elbow-joint for a gunshot wound, reported by Dr. Milroy, 580. with lacerated wound of the left hip, and comminuted fracture of the ilium, reported by Mr. Atkinson, 581. for a comminuted fracture of the bones by a piece of shell, reported by Dr. Scott, 582.
Grape-shot wound of the superior maxillary and malar bones, reported by Mr. Atkinson, 582.
Musket-shot wound of the right temple, fracturing the supra-orbital ridge, reported by Mr. De Lisle, 583.
Musket-shot fractures of the skull, reported by Mr. Ward, Mr. Wall, and Mr. Longmore, 584, 585.
THE END
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Leidy’s Anatomy.
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Macleod’s Surgery of the Crimean War.
Notes on the Surgery of the War in the Crimea, with Remarks on the Treatment of Gunshot Wounds. By George H. B. Macleod, M.D., F.R.C.S., Surgeon to the General Hospital in Camp before Sebastopol, Lecturer on Military Surgery in Anderson’s University, Glasgow, etc. etc. One vol. 12mo. $1.50.
SUMMARY OF CONTENTS.
Chap. I.--The History and Physical Characters of the Crimea. The Changes of the Seasons during the occupation by the Allies. The Natives, and their Diseases.
Chap. II.--Drainage of the Camp. Water Supply. Latrines. Food. Cooking. Fuel. Clothing. Housing. Duty. Effect of all these combined on the health and diseases of the soldiers. Hospitals. Distribution of the Sick. Nursing, male and female. Transport.
Chap. III.--The Campaign in Bulgaria, and its effects on the subsequent health of the troops. The Diseases which appeared there, and during the Flank March, as well as afterward in the Camp before Sebastopol.