New elements of operative surgery / by Alf. A.L.M. Velpeau, carefully revised, entirely remodelled, and augmented with a treatise on minor surgery ; illustrated by over 300 engravings, incorporated with the text, accompanied with an atlas in quarto of twenty-two plates, representing the principal operative processes, surgical instruments ; translated by P.S. Townsend. Augmented by the addition of several hundred pages of entirely new matter, comprising all the latest improvements and discoveries in surgery, in America and Europe, up to the present time. Under the supervision of, and with notes and observations by Valentine Moth.
- Alfred-Armand-Louis-Marie Velpeau
- Date:
- 1845-1847
Licence: Public Domain Mark
Credit: New elements of operative surgery / by Alf. A.L.M. Velpeau, carefully revised, entirely remodelled, and augmented with a treatise on minor surgery ; illustrated by over 300 engravings, incorporated with the text, accompanied with an atlas in quarto of twenty-two plates, representing the principal operative processes, surgical instruments ; translated by P.S. Townsend. Augmented by the addition of several hundred pages of entirely new matter, comprising all the latest improvements and discoveries in surgery, in America and Europe, up to the present time. Under the supervision of, and with notes and observations by Valentine Moth. Source: Wellcome Collection.
Provider: This material has been provided by the Woodruff Health Sciences Center Library at Emory University, through the Medical Heritage Library. The original may be consulted at the Woodruff Health Sciences Center Library, Emory University.
![permanent immobility, and once performed exsection of a portion of the nose and upper jaw for a large fibrous tumor.] M. Mott adds: Our amputations at New York are rarely followed by death; I cannot recall to mind, at present, but four cases of ampu- tation which have thus terminated. I have amputated two legs and a thigh for gangrena senilis, without waiting for the disease to be arrested. The amputation of the thigh, and one of the two amputations of the legs, were followed with success. Union by the first intention more frequently occurs at New York than in France. I have remarked that in America, the inflammation which follows operations is altogether of a healthy character, whilst at Paris there is more irritability than true inflammation. We must ascribe this difference to our climate, and to the constitution of our countrymen. If our operations are followed by more con- siderable inflammation, and by a more intense fever, our inflam- matory diseases are also more acute than those that are observed in France. It is well to remark, that in their communications, MM. Warren, Gibson, Paul Eve, and some physicians of Philadel- phia, hold precisely the same language as M. Mott on this head. §11. M. Gibson, author of a Treatise on Surgery, which has reached its fifth edition, and Professor in the University of Pennsylvania, at Philadelphia, thus expresses himself: During a period of thirty years practice in the United States, I have performed the operation for strangulated hernia fifty or sixty times, without losing more than seven patients. I have more than fifty times practised the lateral operation for lithotomy, and have lost but six cases. The greater number of the amputations that I have performed for diseases of the articulations, wounds from firearms, and com- plicated fractures, have been followed by complete success. I have especially succeeded when the operation has been done in season. In some cases I have succeeded in prolonging the life of the patient from ten to fifteen years, and in one case to twenty-five years. The operations for cancerous breasts have not prevented the reap- pearance of the disease at the end of some months, in the greater number of the cases. I have always failed in cases of cancer, when it was at the same time accompanied with affection of the glands of the groin and arm-pit, and of those of the neck when the mala- dy had its seat in the lower jaw. The ligature of the subclavian and iliac arteries has rarely suc- ceeded with me, whilst that of the carotid, the brachial, and of the femoral in cases of aneurism of the popliteal artery, has generally been followed with the cure of the patient. I ought to say, how- ever, that aneurisms are not frequent in America ; at New York a city almost entirely inhabited by strangers, this affection is rarely observed but among individuals born in England. I have rarely had recourse to the trephine in the case of fractures of the crani- um, with lesion of the brain and its membranes. I have in such I](https://iiif.wellcomecollection.org/image/b21036767_0049.jp2/full/800%2C/0/default.jpg)


