A System of surgery v.1, Volume 1

Front Cover
W. Wood & Company, 1870
 

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Page 324 - I have never seen a person live with a foreign body lodged in the anterior lobe of the brain, although I have seen several recover with the loss of a portion of the brain at this part. My experience then leads me to believe, that an injury of apparently equal extent is more dangerous on the forehead than on the side or middle of the head, and much less so on the back part than on the side.
Page 811 - In the face of these facts, it is difficult to understand how the widespread error of regarding the subglenoid as the typical form of dislocation at the shoulder-joint, should have been so long maintained.
Page 253 - Hewett teaches that in this class of cases we are only to operate where, in addition to fever and rigors, and to the local signs about the bone, there are also well-marked brain symptoms, coma, and, better still, hemiplegia. If we wait until these phenomena are present, and operate, we may at least feel that the operation did not destroy our patient. Arachnitis and brain disorganization are apt to put him "past all surgery.
Page 139 - As a general rule, however, the graver the injury, the greater and more persistent is the amount of ' shock.' A rifle-bullet which splits up a long bone into many longitudinal fragments inflicts a very much more serious injury than the ordinary fracture effected by the ball from a smooth-bore musket, and the constitutional shock bears like proportion. When a portion of one, or of both, lower extremities is carried away by a cannon-ball, the higher towards the trunk the injury is inflicted, the greater...
Page 273 - ... Erichsen, that, with a single exception, he does " not recollect ever having seen a case recover, in which a compound depressed fracture of the skull occurring in the adult had been left without operation." Prescott Hewett's counsel is given in no doubtful terms. " What," he asks, " is to be done, supposing there be a wound leading down to the bone in a depressed fracture of the vault without symptoms ? The rule is that we are to operate and at once.
Page 846 - ... especially when we consider the varieties of direction in which a fracture may occur, and the degree of violence by which it may have been produced. For example, when the fracture is through the head of the bone, with no separation of the fractured ends ; when the bone is broken without its periosteum being torn ; or, when it is broken obliquely, partly within and partly externally to the capsular ligament...
Page 26 - The local treatment of burns is a subject on which many books have been written, and perhaps more numerous remedies recommended than in any other branch of surgery. The success which is said to have attended very different, and even opposite, modes of treatment shows that the authors must either be misrepresenting the facts or speaking about different matters. I prefer the latter explanation, more especially as I find...
Page 147 - Of all instruments for making a complete examination of a gun-shot wound, as well as for exploring for foreign bodies which may be lodged in it, the finger of the surgeon is the most appropriate. By its means the direction of the wound can be ascertained with least disturbance of the several structures through which it takes its course.
Page 356 - ... the brain-substance, and a thick stream of healthy pus flowed out. The symptoms were at once relieved, and the patient progressed most satisfactorily until hernia cerebri occurred. This was kept down by pressure ; and on the eighteenth day after the opening of the abscess, the patient was about, a hole through which a probe could be passed into a cavity in the anterior lobe of the brain still remaining.
Page 187 - ... unprotected. In no region are so many examples offered of large vessels meeting but escaping from balls in their passage as in this; because the cause which operates elsewhere — ready mobility among long and yielding structures — exists in a greater degree in the neck than in any other part Where the large vessels happen to be divided, death must follow almost immediately. Superficial wounds of the neck offer no peculiarities. The larynx and trachea being the organs most prominent, and most...

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