Practical surgery: including surgical dressings, bandaging, ligations and amputations

Front matter

-mm —

UNITED STATES OF AMERICA.

i

Preface

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 vi preface.

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 Anatomy," the 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 St.

October, 1878.

Part I. Surgical Dressings

Compresses .....

Plasters .....

Poultices or Cataplasms .

Methods of Irrigation

Sponges .....

Instruments used in Dressing Wounds

Dressing a "Wound

The Antiseptic System of Dressing Wounds

Splints

PAGE

18 20 22

23 24 28 30

Part II. Bandaging

The Simple Bandage or Roller

• 36 for the Head, Body, Extremities for the Hand

Bandages of the Head .

of the Trunk . . / of the Extremities of the Superior Extremity .

of the Inferior Extremity .

(vii)

CONTENTS.

General Bandages ....

The Compound Bandages Mayor's System of Handkerchief Dressings Immovable Bandages . . - .

PAGE

65 69

Part III. Ligations

Positions of the Knife

Incisions

Closure of Wounds

Sutures

Operations upon the Living and Dead Subjects

Instruments used in the Ligation of Arteries .

Operations for the Ligation of Arteries .

Ligation of Special Arteries ....

Part IV. Amputations

Instruments used in Amputations ....

• 173

Methods of Amputation ......

. 180

Special Amputations ......

. . 196

Lower Extremity . . . . .

. . 196

Upper Extremity . . .

. 241

• 275

PRACTICAL SURGERY.

Practical Surgery may be divided conveniently into two parts : 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.