Clinical lectures on surgery : delivered at the Hospital of La Charité

Front matter

AL LIBRARY OF MEDICINE Bethesda, rary of

Leon Banov, Jr., a)

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Preface

THE lectures of which these are a part were delivered by Professor Gosselin during the first five years following his advancement to the position occupied so long by Velpeau. The surgical service of La Charité, which for more than two hundred years has been connected with medical instruction at Paris, now belongs to the ranking chair of Clinical Surgery in the Ecole de Médecine, and a position in one of its three wards is the prize awarded each year to the student who passes the best examination for the internat. Professor Gosselin himself, after having risen through all the subordinate positions, and having gained each promotion by a competitive examination, stands now, since the death of Velpeau, at the head of the surgical section of the Faculty.

In the preface to the first edition of his lectures, Professor Gosselin has explained the three motives which led to their publication. The first was the desire to exemplify his conception of the proper method of clinical instruction, that in which a patient is taken as the text of a lecture in which everything relating to the etiology, symptomatology, prognosis, and treatment of the affection is properly developed and illustrated, so far as possible, by the patient himself. The second was to show to what extent the acquisitions of modern scientific research are applicable to the treatment of disease; and the third, to publish his own original opinions upon certain questions, especially those he had not treated of in previous works.

In making a selection of the lectures for translation the choice was guided by two considerations: 1st, to take those which would be most serviceable and of the greatest interest to the profession in America ; and, 2d, to take those upon subjects with which the author is more lv PREFACE.

particularly identified, those in which he has done much original and valuable work. Among the latter may be especially mentioned the study of the different forms of osteitis, of certain forms of arthritis, of the ultimate results of fracture of the limbs, and of the influence of adolescence upon the pathogeny and prognosis of certain affections. The only important deviation from the original arrangement occurs in Part IV., which is made up of a section upon Surgical Septicaemia, and of two lectures taken from a section upon Gunshot Wounds.

The translation was made in Paris, during a prolonged service in Professor Gosselin’s wards, and contains several corrections and revisions made for it by him. It is hoped that the opportunities thus afforded have insured an exact rendering of the author’s thoughts.

2 a LEWIS A. STIMSON. ‘ New York, June, 1878. ¥ is

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Page 153, 13th line from top, for with read without. “ 172,11th “ “ bottom, for an read no. ’ “ 220, Ist “ “ top, for esteo- read osteo-.

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Part I. Surgical Diseases Of Youth

LEcTuRE I. Ingrown Toe- nail and its Treatment . °

II. Sub-ungual Exostosis of the Great Toe . P ° : : 7

III. Non-specific Epiphysary Exostosis of Youth or Exostosis of Development

IV. Suffocating and Rehellious Naso-pharyngeal Fibroma or Fibrous Polyp .

V. Two Cases of Subacute Non-suppurating Epiphysary Osteitis. VI. I. Hyperostosis of Right Femur. II. Necrosis of Left Tibia . 4 F VII. Acute Epiphysary Osteitis of the Left Femur, with aie median Arthritis ofthe Knee. Amputationofthe Thigh . ‘ :

VII. Tarsalgia of Adolescents.—(First, Second, and Third Dearses)