Surgical experiences : the substance of clinical lectures. / By Samuel Solly.

  • Samuel Solly
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Surgical experiences : the substance of clinical lectures. / By Samuel Solly. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    C49 Sept. 23, 3 A.M.—Oozing came on again, continued but a short time ; he expressed a wish to have the limb removed; Mr. was therefore sent for; ho, however, determined to leave it till Mr. returned. He has taken in the night, wine siij-, brandy Jij. Messrs. , , and , determined that no operation was in the present condition advisable. Mr. therefore explained to the patient that he could by no means advise an operation, but that if he himself desired, on his own responsibility, to have the limb removed, no objection would be made. 3 p.m.—He ex- pressed a Avish to have the limb removed, and Mr. Solly, in the absence of Mr. , amputated the limb about 5.15 p.m., by the double flap operation. The vessels were tied and wet lint applied for about a quarter of an hour, when a general oozing came on from several small arteries at the back part of the stump ; ligatm'es Avere applied in several places, but in vain, the actual cautery Avas then resorted to, and pressure kept upon the main trunk for about tAvo hoiu's, and he had no bleeding since. TAvice during the time he Avas on the table the pulse at the wrist disappeared, and he Avas given up as dead, but was roused by means of stimuli. Soon after 10 p.m. he was taken to bed, his face and lips almost insensible, the pulse at the wrist scarcely perceptible. He had taken since the commencement of the operation nearly a pint * of brandy, and half a pint of wine. 11 o’clock.—The stump Avas dressed; five sutures were put in and strapping applied, a broad roller also from one side of the bed to the other to keep the stump doAvn; he took tinct. opii, 3 ss., which was repeated in the night without producing sleep. Sept. 24, 9 A.M.—Mr. SoUy saw him, and found him much in the same condition. Ordered, Tinct. opii, npxx. ; ammon. sesquicarb., gT. V. ; syrup, zinzib., 33s.; aq. menth. pip., 5]. 6tis horis ; 4 eggs, jelly, arroAATOot; extrasti’ong beef-tea, Oij.; port-wine,^viij.; brandy, 3\dij. ; tinct. opii, 3j., hora somni, et repet. 10 p.m.—Ratlier more sensible; says he feels as if he could sleep, but as soon as he closes his eyes he gives a convrdsive start that draws the stump violently upwards, in consequence of which he is afraid to close his eyes. 25th, 9 P.M.—Took tinct. opii 5ss. at different times last night, Avithout producing sleep. About twelve o’clock he began to be very violent: he put a toAvel round his throat and attempted to strangle himself, threw his body about, and scratched Avith his hands at everj'thing within his reach ; he drew his stump from under the roller, which was placed across it, and screamed and started in an awful manner. He remained in this state about three- quarters of an hour, requiring six or seven people to hold him flown, besides the hand straps. He has only taken tAVO doses of the mixture. Mr. Solly has just seen him; gave him a pint of stout, and ordered morphia hydchlor. gr. j. 2 p.m.—Has had no .sleep since the last dose of morphia. 8 p.m.—Mr. Solly saAV him again : rep. moiqfli. 11 p.ji.—Has been dozing. 26th, 10 A.Ai. — Has passed another sleepless , night. About 12.30 he had another similar attack as the night before, but it Avas