Practical surgery: including surgical dressings, bandaging, fractures, dislocations, ligature of arteries, amputations, and excisions of bones and joints

Front matter

Sbelft

'XI*

UNITED STATES OF AMERICA.

Preface To The Second Edition

The author desires to express his appreciation of the favor with which the first edition of his work was received by both Practitioners and Students of Medicine.

In the preparation of the present edition, he has endeavored, by the addition of new, and the revision of the original matter, to extend its usefulness.

To the illustrations, for which acknowledgment was made in the preface to the first edition, he has added many others reproduced from the works of Gross, Agnew, Stephen Smith, Cheyxe, MacCormac, Pilcher, Hamilton, and Gray.

Messrs. Gemrig and D. W. Kolbe & Son, of this city, and Tiemann & Co., of New York, have again placed him under obligations for the loan of cuts of splints and instruments.

Philadelphia, 1429 Walnut Street, October, 1885.

Preface To The First Edition

This book has been written in response to the request of students who have been from time to time under the instruction of the author, and who have expressed a desire for a work which should embrace in a condensed form the subjects herein treated of. It has been the endeavor of the author to present these subjects in as concise a manner as possible, and at the same time to omit nothing which might be deemed necessary to render the instruction complete. While he has aimed to embody chiefly the results of his own experience as a teacher and as a practitioner, he has not hesitated to make use of the standard text-books on surgery and of such works as are devoted to the consideration of the special topics presented in this.

With a few exceptions, the illustrations are reproductions from the works of Gross, H. H. Smith, Stephen Smith, AsHHURST, Packard, Maunder, Heath, Bellamy, and Bernard and Huette. The anatomical relations of the arteries are largely those which are given in " Gray's Anat-

Vlll PREFACE TO THE FIRST EDITION.

omy," tlie correctness of which has been verified by dissections and operations.

Messrs. Gemrig and Kolbe, instrument- makers, of this city, and Messrs. Stholmann, Pfarre & Co., of New York, have placed the author under obligations for the loan of cuts of instruments.

To Dr. John W. Barr his thanks are especially due for valuable aid in correcting the proof of the work.

Philadelphia, 1429 Walnut Street, October, 1878.

Part I. Surgical Dressings

PAGE

Plasters 20

Poultices or Cataplasms ....... 23

Methods of Irrigation 25

Sponges 27

Instruments used in Dressing Wounds . • . . 29

Dressing a Wound 32

The Antiseptic System of Dressing Wounds ... 35

Agents employed in diiferent Antiseptic Methods . . 47

Important points involved in Treatment of Wounds . . 58

Part II. Bandaging

The Simple Bandage or Roller 65

for the Head, Body, Extremities 67

for the Hand 68

Bandages of the Head 72

of the Trunk 79

of the Extremities ........ 89

of the Superior Extremity ......

of the Inferior Extremity . . . . . • • &•

X CONTEXTS.

PAGE

General Bandages 98

The Compound Bandages 102

Mayor's System of Handkerchief Dressings .... 104

Immovable Bandages 108

Part III. Fractures

Complete Fractures 117

Incomplete Fractures 119

Causes of Fracture . . . . . . . .121

Symptoms of Fracture 122

Diagnosis of Fracture ... . . . . . .124

Prognosis in Fractures 125

Treatment of Fractures 128

of Complicated Fractures 144

of Compound Fractures 145

of Fractures united with Deformity ..... 147

Ununited Fracture or Pseudarthrosis ..... 149

Special Fractures 152

Face 155

Trunk 164

Part IV. Dislocations

Traumatic Dislocations 299

Pathological Dislocations ....... 300

Congenital Dislocations 301

CONTENTS.

XI

Causes. of Dislocation .

Symptoms of Dislocation

Diagnosis of Dislocation

Prognosis

Treatment .

Complicated

Compound .

Old

Special Dislocations

Head and Face

Pelvis

PAGE

Part V. Ligature Of Arteries

Positions of the Knife 476

Closure of Wounds 479

Needles 481

Operations upon the Living and Dead Subjects . . . 482

Instruments used in the Ligature of Arteries . . . 484

Operations for the Ligature of Arteries .... 486

Ligature of Special Arteries ...... 493

Part VI. Amputations

Instruments used in Amputations

Methods of controlling Hemorrhage in Amputations

Methods of Amputation .....

571 576 580

Xll

CONTENTS.

PAGE

After-treatment in Amputation . . . . . .597

Affections of the Stump ....... 600

Synclironous Amputation 605

Re-amputafions . . . ' 607

Intra-uterine Amputations 607

Constitutional effects after Amputation .... 607

Special Amputations ........ 610

Part VII. Excisions Of Bones And Joints

Conditions demanding Excision

Contra-indications in

Process of repair after

Instruments used in

Incisions employed Special Excisions

Cranium .

Face

Trunk

PRACTICAL SURGERY.

Practical Surgery may be divided conveniently into two ^Kirts : First, that part which relates to the preparation and application of surgical dressings — mechanical ; and, second, that which embraces surgical operations — the use of cutting instruments and the production of wounds — operative.