The double-flap and circular amputations contrasted : being an abstract of a first prize essay at the University of Edinburgh / by F.N. MacHardy.

  • MacHardy, F.N.
Date:
1841
Catalogue details

Licence: Public Domain Mark

Credit: The double-flap and circular amputations contrasted : being an abstract of a first prize essay at the University of Edinburgh / by F.N. MacHardy. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    lion, and although here his comfort is also incomplete, still hdre a store of facts is preserved, * which attests that neuralgia fre- quently supervenes on the circular incision, but almost never on the flap. 9th, Atrophy or Conical Stumpi—According to the observa- tions of Mr Langstaflf (1) and others, (2) this result is the effect of the meagre covering of skin and muscle, exposing the nerves to irritation, and occasioning general excitement in the stump. This frequently occurred after the operations of Celsus, (3) Du- puytren, (4) and others circulists; even Cheselden (5) himself fared little better, as testified by O’Halloran, (6) Bromfield, (7) Alanson, (8) Sharp, (9) Latta, (10) Dewar, (11) Rees, (12) Hawkins, (13) Syme, (14) and Liston. (15) An experienced military surgeon (16) had the mortifica- tion to find three tapering stumps, although his amputations were performed according to Sabatier, Desault, Pelletan, and Pott; Using the greatest circumspection in their formation and after- treatment. Hey, Guenand, Monro, and Bromfield, (17) were treating scien- tific questions regarding the best means for effectually covering the bone, when Louis (18) described his peculiar method to their general s<atisfaction. But even this mode has been declared by Valentin (19) still to be insufficient. In fact, the general ten- dency to pyramidal stumps, after every variety of the circular * Messrs Ferguson and Fortune, artificial limb-makers to St Bartholomew’s, London, and the Royal Infirmary, Edinburgh, from extensive experience, the former of the circle, the latter of the flap, corroborate the above statements. (1) Lond. Med. Chir. Trans, v. 16. (2) Andral, p. 228 ; BeU on the Nen'es, 3d Edit. p. 429. (3) History of Amput. (4) Bell’s Inst.of Surg. v. 1, p. 336. (5) B. Bell’s Surg. v. 7, p. 256. (6) On Gangrene, 1765—pref. (7) Surg. 1773, v. 1, p. 153. (8) On Amput. 2d Edit.—pref. (9) Grit. Inquiry, p. 287. (10) Surg. V. 3, p. 590. (H) Edin. Med. and Surg. Jour. v. 24, p. 265. (12) Cyclpted. v. 2. (13) Lond. Med. Gaz. 1832-3, V. 2, p. 877. (14) Edin. Med. and Surg, Jour. v. 21, p. 35. (15) Ibid. p. 44. (16) J. B. Paroisse, opus, de chir, 1806, pp. 185—203. (17) Cyclopaed. Pract. Surg. pt. 2, p. 120. (18) Mem. de I’Acad. Chir. t. 5, p. 275. (19) Recherches ertiques sur la chirurg. Modena, 1772.
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