A resume of surgical operations from April 1, 1892, to April 1, 1893 in the practice of Dudley P. Allen / by William H. Nevison.

  • Nevison, William H.
Date:
1893
Catalogue details

Licence: Public Domain Mark

Credit: A resume of surgical operations from April 1, 1892, to April 1, 1893 in the practice of Dudley P. Allen / by William H. Nevison. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    97/116 (page 91)
    OPERATIONS UPON THE HEAD AND NECK. (not including tumors.) Twemy-two cases with three deaths ; death in two cases being caused by compound fracture of the skull; in one case by abscess of the parotid following pyemia. Operations upon the Skull.—Six cases. Case I.—The patient was a Frenchm an ; had been a heavy drinker- Received a blow on the head and was brought to the hospital two days later. Was violently delerious and had a tem- perature ranging about 103 in the axilla. Incision was made over the seat of the injury and a triangular portion of the right parietal bone was found to be depressed, and infection of the wound already to have taken place. The wound was packed open with iodoform gauze, with an antiseptic dressing and ice bag on the head. Patient steadily failed and died two days after the operation. Case II.—A boy about 16. Had his head caught between an elevator and floor, his head stopping the elevator. Was brought to the hospital in an unconscious condition. The nasal eminence was fractured and nose flattened. Over the occiput there was con- siderable swelling and contusion of the scalp. The head was shaved, and incision was made over the occiput and the clots of blood turned out. No fracture was discovered in this locality. The nose was remoulded, and the loose pieces of bone removed. The patient made a rapid recovery and left the hospital in about two weeks. Case III.—Was an extensive compound comminuted fracture of the skull with severe lacerations of the brain tissue. The patient never regained consciousness, and died on the second day. Case IV.—Was struck by a motor and received a fracture over the right ear. Portions of the temporal bone were depressed, these were removed and the edges of the bone cut away with the rongeur. The wound healed by first intention and the patient left the hos- pital in about three weeks.