Operative surgery in the Calcutta Medical College Hospital : statistics, cases and comments / by Kenneth McLeod.

Date:
1885
Catalogue details

Licence: Public Domain Mark

Credit: Operative surgery in the Calcutta Medical College Hospital : statistics, cases and comments / by Kenneth McLeod. Source: Wellcome Collection.

Provider: This material has been provided by the Royal College of Physicians of Edinburgh. The original may be consulted at the Royal College of Physicians of Edinburgh.

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    CHAPTER VIII. AMPUTATIONS. Cases, 61 ; Bmtlis, i6. A. Amputations for Injury. Cases, 38 ; Deaths, 9. MacluDciy V. A. I. Primary, through. Shoulder-joint.—i. Maliome- iXCciclGllt dan male, jet. 32. Severe machinery accident. Right arm Amputation at and forearm thoroughly smashed. Amputation (primary) at sbouldei. shoulder-joint, flaps external and internal cut from without. Elastic cord did not command axillary sufficiently. A good Death. deal of bleeding in consequence. Died of shock in two days. Machinery ii. Male Mahomedan, £et. 13. Sustained a severe lacera- acoident. \Xon of right arm in the machinery of a jute-mill a few hours before admission. An Esmarch's cord was wound tightly round the shoulder, and kept in position by tapes fastened on the opposite side. The remains of the arm were Ampiitation at taken off at the shoulder-joint. Anterior and posterior flaps were cut; the latter larger. Little or no blood was lost, and strict antiseptic precautions were employed. Suppuration took place, and partial sloughing of posterior flap from bruis- ing. A good stump eventually resulted. The wound healed partly by first intention and partly by granulation. There was no constitutional disturbance beyond the shock and reac- Eecovery. tive fever. Patient left hospital 90 days after the operation. Machinery 2. Primary Amputation of the Arm.—i. Hindu male, pet. 28. Machine accident. Sustained also lacerated wound Amputation of of right leg. Arm removed before admission a few inches below shoulder-joint. Flaps a good deal bruised and torn ; sloughed partially, exposing end of bone ; wound healed by granulation. No necrosis. Left hospital with a sound stump in 74 days. Amputation wound became septic for a time. Hocovery. Wound of leg remained aseptic, and healed kindly and rapidly.