New elements of operative surgery; with an atlas of nearly three hundred engravings, representing the principal operative processes, and a great number of surgical instruments

Front matter

v* th /^ li I

THE LIBRARY

OF

Preface

Introdtjctio^-.

Elementary Operations.

Chapter I. — Divisions Section I. — Cutting instruments Article 1. Manner of holding the bistoury . _ - - § 1. First position. Bistoury held as

a knife, the edge downwards §2. Second position. Bistoury held

as a knife, the edge upwards §3. Third position. Bistoury held as a pen, the edge downwards, the point forwards §4. Fourth position. Bistoury held

as a pen, the point backwards § 5. Fifth position. Bistoury held

as a pen, the edge upwards § 6. Sixth position. Bistoury held as a drill-bow _ . .

Art. 2.-JHanner of holding the scissors - - - - Sect II. — Different kinds of incisions Art. 1. Simple Incisions

§ 1. Incision from without inwards § 2. Incision fr-om within outwards § 3. Upon a director § 4. With a fold of the integuments 4 5. Horizontally - - -

Art. 2. Compound incisions § 1. The V incision ^ 2, The oval incision § 3. The cross incision § 4. The T incision § 5. The elliptical incision § 6. The crescentic incision Art. 3. Incisions applied to abscesses, to collections of fluids § 1. Incision from within outwards 4 2. Incision from without inwards § 3. Complex incisions Art. 4. Incisions applied to the dissection of tumors and of subcutaneous cysts - . >

Page III

IX

1 1 1

2 o

§1. Form of the incision -

1. Straight incision

2. V incision . - -

3. Crucial incision

§ 2. Dissection of the Flaps

1. Concrete tumors

2. Cancers . . _

3. Cysts

Art 5. To cause the least possible pain - - - -

Sect. III. — Punctures

Chapter II. — Reunion

Art. 1. Suture ...

§ 1 . Interrupted suture § 2. The suture of Le Dran § 3. Furrier's suture § 4. Zigzag suture § 5. Twisted suture § 6. Quilled suture

CoKPLKX Operations.

Title I. — Operations upon the Bloodvessels J - . .

Chapter I. — Operation for aneurism in general - - - .

Sect. I. — Anatomical remarks

Sect. II. — Spontaneous cvu'e

Sect. III. — Curative methods

Art. 1. Method of Valsalva -

Art. 2. Refrigerants and styptics

Art. 3. Compression

§ 1. Mediate compression - § 2. Immediate compression

Art. 4. Cautery

Art. 5, Ligature - . .

§ 1. Nature and form of the ligature § 2. Permanent ligature - § 3. Precautionary ligatures § 4. Temporary ligature -

Operative processes - - -

§ 5. Two ligatures with immediate

division of the artery § 6. Ligature throiigli the artery - § 7. Mediate ligature § 8. Immediate ligature iii i:36Q>acr

IV

INDEX.

Page Art. 6. Methods of operation - 48 Relative value of the three principal methods - - - 52 Art 7. Maiiual - - -55 § 1. Old method - - -55 §2. Method of Anel - - 56 §3. Results of the operation - 60 Art. 8, Of the suture - - 62 Art. 9. Torsion, Bruising - - 62 Art. 10. Acupuncture - - 63 Art. 10 {again). Changes occurring in vessels of a limb after the operation for aneurism - - -65 Chapter II. — Operations for the particular aneurisms - - 67 Sect. I. — Operations for diseases of the arteries of the inferior extremity - - - -67

A. Anterior tibial in the foot - 67 Art. 1. Anatomical remarks - 67 Art. 2. Surgical remarks - - 68 Art. 3. Manual - - - 68

B. Anterior tibial in the leg - 69 Art. 1. Anatomical remarks - 69 Art. 2. Surgical remarks - - 69 Art. 3. Manual . - - 70

C. Posterior tibial - - 71 Art. 1. Anatomical remarks - 71 Art. 2. Surgical remarks - - 72 Art. 3. Manual - - - 7o

D. Peroneal - - - 74

E. Popliteal - - -75 Art. 1. Anatomical remarks - 75 Art. 2. Surgical and historical remarks - - - -75

Result of the operation - - 78

F. Femoral - - - 79 Art. 1. Anatomical remarks - 79 Art. 2. Surgical and historical remarks - - - - 80

§ 1. Inferior half - - - 83

§ 2. Superior half - - - 84

4 3. Results of the operation - 84

G. Ligature of the circumflexes or

of the profunda - - 85 H. External iliac - - - 85 Art. 1. Anatomical remarks - 85 Art. 2. Historical and surgical remarks - - - - 86 Art. 3. Manual - - - 88 L Internal iliac - - - 91 Art. 1 . Anatomical remarks - 91 Art. 2. Surgical and historical remarks - - - - 91 Art. 3. Manual - - - 92 K. Primitive iliac - - - 93 Art. 1. Anatomical remarks - 93 Art. 2. Surgical and historical remarks - - - - 93

L. Abdominal aorta

Sect. II. — Arteries of the superior extremity - . - ,

A. Arteries of the hand - Art. 1. Anatomical remarks Art. 2. Surgical remarks

B. Arteries of the fore-arm Art. 1. Anatomical remarks

Art. 2. Surgical and historical remarks . - - .

Art. 3. Manual ...

C. Artery of the elbow Art. 1. Anatomical remarks

Art. 2. Surgical and historical remarks _ . _ _ Art. 3. Manual . . _

D. Brachial ...

Art. 1. Anatomical remarks

Ai't. 2. Surgical and historical remarks - - . - Art. 3. Manual - . -

E. Axillary - . _ Art. 1. Anatomical remarks

Art. 2. Surgical and historical remarks - - . _ Art. 3. Manual ...

F. Subclavian . . , Art, 1. Anatomical remarks

Sect. III. — Arteries of the head

A. Temporal - - -

B. Facial - - - Sect IV. — Arteries of the neck

A. Primitive carotid Art. 1. Anatomical remarks

Art. 2. Surgical and historical remarks . . - - Art. 3. Manual - - -

B. Internal and external carotids

C. Facial . - - -

D. Thyroids

E. Innominata _ - - Art. 1. Anatomical remarks

Art. 2. Surgical and liistorical remarks _ . - - Art. 3. Modes of operation - Chap. III. — Naevi Materni, Erectile Tumors - - - - Chap. IV.— -Varix Title II. — Of Amputations Chap. I. — Amputations in general Sect. I. — Indications Art. 1. Gangrene - - - Art 2. Fractures - - -

95 97

98 98 98 98 98 99 99

100 100 101 101

102 104 105 105

105 106 106 106

124 125

INDEX.

Art. 3. Luxations

Page 136

A. Flap method

.

Art. 4. Caries, Necrosis

B. Circular method

-

Art. 5. Cancerous affections

Art. 6. Arm

-

Art. 6. Aneurism

A. Circular method

-

Art. 7- Suppuration - - .

B. Flap method

-

20?

Art. 8. White swelling

Art. 7. The arm at the joint

-

Art. 9. Tetanus— Bite of a rabid ani-

-

A. Circular method -

-

Art. 10. Amputations of convenience

B. Flap method

-

Art. 11. Gunshot-wounds

C. Oval method

-

Sect. II. — Preliminary attentions

§2. Comparisonof the methods -

Art. 1. Counter-indications

Art, 8. The shoulder — ^Jiistory and

Art. 2. Time for the operation indication

-

Art. 3. Point of amputation

-

Art. 4. Preparatives - - -

Sect. II. — The inferior extremity

Sect. Ill, — Methods of operation

Art. 1. Toes

A. Amputations in continuity

Art. 2. Metatarsus

Art. 1. Circular method

A. First metatai-sal bone

B. Second metatarsal bone

§ 3. Consecutive treatment

C. Extraction

§ 4. Accidents - - -

D. Collectively

Art. 2. Flap method -

§ 2. Disarticulation -

Art. 3. Oval method

B. Amputation in the contiguity

Art. 3. Amputation of a part

of the