The principles and practice of surgery / by John Ashhurst ; illustrated with five hundred and thirty-three engravings on wood.
- John Ashhurst
- Date:
- 1871
Licence: Public Domain Mark
Credit: The principles and practice of surgery / by John Ashhurst ; illustrated with five hundred and thirty-three engravings on wood. Source: Wellcome Collection.
Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.
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![operation the stump may be closed in the usual way, the deep parts of the wound being approximated by the use of suitable compresses. The statistics of hip-joint amputation are more favorable than might be expected from the severity of the operation: of 286 cases of all kinds recorded in Circulars No. 7, S. G. 0., 1867, and No. 2, S. G. 0., 1869, 60 are known to have recovered and 223 to have died, while the result in three cases is undetermined; besides these, there were eight cases of reamputation of stumps, of which four died and four recovered. The following tables exhibit—first^ the comparative mortality of hip-joint and thigh amputations, for the causes met with in civil life, and for gunshot injuries; second, the comparative mortality of these operations, accord- ing as they were performed for injury or disease; and third, the statis- tics of hip-joint amputation for gunshot injuries, with reference to the periods at which the operations were performed. Table shoiving JResuUs of Hip-joint, as compared loith Thigh Amputa- tion, for Causes incident to civil Life, and for Gunshot Injuries. Civil Practice. Gunshot WODNDS. Aggregates. AmputatiOD. a IB Q Mortality, per cent. Cases Deaths. Mortality, per cent. 1 Mortality, per cent. Hip-joint' 111 1003 65! 58.56 395 39.38 175 158 90.29 286 9,23 77.97 Thigh2 35162715 77.22 4519 3110 68.82 i Table showing Mortality of Hip-joint, and of Thigh Amputation, for Injury, and for Disease. Amputation for Injury. For Disease. Locality. Cases. Deaths. Mortality, per cent. Cases. Deaths. Mortality, per cent. At liip-joint'' 47 35 ! 74.47 42 308 18 1 49.8fi In continuity of thigh.'* 90 55 61.11 71 23.43 Table showing Results of Hip-joint Amputation for Gunshot Injuries, according to the Period at which the Operation was performed. [Copied from Circular No. 2, S. G. O., 1869, p. 112.] Period of Operation. Cases. Died. Recovered. Doubtful. Death-rate. Primary 79 76 20 8 75 70 • 13 4 1 ^ 6 7 4 . 3 98 68 Intermediate 92.10 Secondary 65 00 Reamputation s 50 00 Affffretrates 183 162 18 3 90 OC^ ' Circular No. 7, S. G. O., 1867, p. 18, and Circular No. 2, S. G. O., 1869, p. 112. 2 See Med.-C'hir. Trans., vols. xlii. and xlvii.; St. George's Hosp. Reports, vol. 1.; Guy's Hosp. Reports, 3d s., vol. xv.; Erichsen's Surgery, pp. 60 and 61.; Gross's Surgery, vol. i. p. 527; and Table in Chapter V., p. 108. 3 Erichsen, op. cit., p. 83. ^ Ibid., p. 61. = Doubtful cases omitted in computing percentages.](https://iiif.wellcomecollection.org/image/b21039094_0133.jp2/full/800%2C/0/default.jpg)
