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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    ii. Hindu male, pet. 15. Fell from a mango tree three Chap. VIII. days before admission. Sustained simple CoUes's fracture y of both radii, compound fracture of lower end of right p^^j ^^^^ ^ humerus and olecranon jDrocess. Hight forearm much tree, swollen and inlilti'ated; gangrene evidently impending. Amputation by modified circular method—oval skin flaps Amputation of and circular division of muscles—of lower third of arm, under antiseptic precautions. Had fever and swelling of right knee for ten days. Some sloughing occurred in am- putation wound, which granulated and healed within a Recovery, month. Fracture of left radius underwent satisfactory union. Remained in hospital for 44 days. 3. Primary of Forearm.—i. Hindu male, set. 36. Hand Machine smashed by machinery; forearm lacerated and partially decorticated; primary amputation of forearm—middle— Amputation of antiseptic. Recovered ; discharged in 34 days. Recovery ii. Hindu female, ast. 36. Jute-mill accident; wrist. Ditto, hand, and lower part of forearm completely smashed; primary amputation at middle of forearm. Recovered ; dis- charged in 25 days. Both these operations were performed under strict Typical aseptic antiseptic precautions. Case ii. presented a typical aseptic result—absence of inflammation, suppura- tion, putrefaction, and constitutional disturbance, and union of the flaps by first intention. In case i. part of one of the flaps sloughed in consequeace of original bruising, but the progress was satisfactory notwith- standing, and repair of the amputation wound raj)id. iii. Mahomedan male, ast. 14. Bitten by a horse five Horse bite, hours before admission. Right forearm completely crushed. Amputation performed at junction of upper and middle Amputation of thirds, bloodlessly and antiseptically. Catgut threads used for drainage secured by catgut loops to deepest part of wound. Stitches removed and wound healed soundly in ten Recovery, days. No constitutional disturbance of any kind, nor local inflammation or suppuration. Left hospital 26 days after operation. 4. Primary, of parts of the Hand.—i. A native male.