Clinical surgical report for the year 1871 / by George Buchanan.

  • George Buchanan
Date:
[1872]
Catalogue details

Licence: Public Domain Mark

Credit: Clinical surgical report for the year 1871 / by George Buchanan. Source: Wellcome Collection.

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    and feverish from the outset, and phlegmon supervened. Amputation at the knee was performed by Dr Patterson in my absence, but the man did not rally. He had rigors the day after the amputation, and died of pyaemia. Amputation at the Ankle.—All successful. Seven by Syme’s method. 1 by PirogofFs plan for accident. Amputation at shoulder joint successful—for a severe acci¬ dent, performed by Dr Patterson during my absence. Amputation of Arm.—Seven cases—all successful. 6 pri¬ mary for accident. 1 for destructive disease of elbow. Amputation of Forearm.—Four cases, all successful. Ovariotomy.—Three cases—one successful, two died. The successful case made a most satisfactory recovery. The two fatal cases were examples of most extensive adhesion of the cyst to the abdominal walls. It required the utmost care to remove the adherent cyst walls. One ot the patients did not rally, but died next day. The other, to my perfect surprise, was comfortable and well in every way for six days, but the inevitable signs of low peritonitis— flagging pulse—slight subsultus—abdominal flatus without pain, were observed on the sixth day with the invariable fatal result. Lithotomy.—Two cases, both successful. One in an adult male by the rectangular method. Another in a woman from 'whom the stone ‘was removed by the lateral incision in the left vaginal wall, with a good result. Another of the operations recorded, which deserves special mention, is a case of ligature of the femoral artery in the antiseptic method for traumatic femoral aneurism, the particulars ol which were given in the Clinical Record last winter. The result w^as most gratifying. The sac Tvas opened and the artery tied with antiseptic catgut above and below the wound. Rhino-plasty.—A capital result from a flap made from the forehead. The resulting nose was a very fair substitute for the original organ.