A series of lectures on the most approved principles and practice of modern surgery; principally derived from the lectures delivered by Astley Cooper ... at the united hospitals of Guy and St. Thomas, and in which will be found some of the opinions of the most celebrated surgeons, from the time of Hunter, to the present moment ; interspersed with numerous cases / By Charles Williams Jones.

  • Jones, Charles Williams.
Date:
1821
Catalogue details

Licence: Public Domain Mark

Credit: A series of lectures on the most approved principles and practice of modern surgery; principally derived from the lectures delivered by Astley Cooper ... at the united hospitals of Guy and St. Thomas, and in which will be found some of the opinions of the most celebrated surgeons, from the time of Hunter, to the present moment ; interspersed with numerous cases / By Charles Williams Jones. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    side the following day or two ; and another good effect scari- fying has, is that the eschars separate more quickly. It is but fair to mention there are numerous instances of the success of dilating wounds : this practice was adopted in many cases that occurred in the engagement between the Swiss and Parisians on the 10th of August, 1792. A practice that gives ease, and tends to check inflammation, is wrapping the whole limb in cloths wet with the liquor, acet. plumb, dil. especially in warm weather. As to the constitutional treat- ment, large doses of opium with antimonials will be found beneficial when the patient becomes restless. Bleeding, if the powers of the constitution are not good, and the contusion ex- tensive, will be improper; but in general it will be right to bieed plentifully, and if after the first bleeding the pulse be- comes full, a second bleeding may be resorted to, especially if the wound be near any vital organ. It should, however, not be carried to any imprudent excess, as tetanus is a likely con- sequence of these w’ounds, and the great weakness induced would render the living powers unfit to sustain the discharge from wounds of this nature. The Peruvian bark is of great ad- vantage to be judiciously administered. We should purge sparingly, as it is often difficult to check it. Anxious to ascertain whether a person suffered much pain or not at the time of receiving a gun-shot wound, numerous inquiries have been made, from which I have learnt, that unless the ball struck against a bone, the person was not in the least sensible of his having received an injury ; but if a bone w'ere struck, the sensation of a strong shock was communicated to every part of the body ; and this w'as seen to be the case in a duel fought by a Captain Bewis : he was severely wounded in the legs, and fell as if he had been struck by a forge hammer. Having got rid of the inflammation by the adoption of the means recommended, and given due support to our patient by rather a liberal and generous diet, combined with tonics, the healing of the sinus will be our next endeavour; and this some- times takes a long time, from the inability of stimulating the centre of the wound. Under these cases it is proper to intr^- l