Statistical report of the major operations performed by Professor Spence in the Edinburgh Royal Infirmary / by George Kirkwood ; with remarks by Professor Spence.

Kirkwood, George.

Date:: 1875

Credit: Statistical report of the major operations performed by Professor Spence in the Edinburgh Royal Infirmary / by George Kirkwood ; with remarks by Professor Spence. 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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$(8.) Of Testicle— Castration (simple tumour) Syme’s operation for fungoid testicle For Hsematocele Number. Recovered. Died. 1 1 0 1 1 0 1 1 0 3 3 0 Other Operations. Hernia (strangulated congenital) . . i Lithotomy ..... 1 Perineal section ..... 1 Tracheotomy— Chronic laiyngitis .... 1 Portions of bean in trachea . 1 Disease of epiglottis ... 1 Growth in larynx ... 1 CEdema glottidis following burn . 1 Diphtheria ... . . 2 1 0 1 0 1 0 0 1 0 0 1» 1 0 0 1“ T • 1* * 7 Trephining for depressed fracture (secondary) 1 3 4 1* 0 Operations for Necrosis. Of Femur Bones of leg . Os calcis Humerus Bones of forearm 3 3 0 2 2 0 1 1 0 6 6 0 2 2 0 14 14 0 * Bronchitis. ® Bum of face anil neck with gunjrowder. Patient was an old man. Died of bronchitis five days after operation. * Dieil thirty-six hours after o]>eration. Asphyxiated, owing to the obstruction caused by the spread of membrane down the trachea. * The operation of trephining was not performed at the time of the accident, but some days after. The patient was stmek by the handle of a crane, above and to the outer side of the left orbit. He lost consciousness at the time, and although he had somewhat recovered when he was brought to hospital, he was still in a dreamy state. Fracture into the orbit could be made out, but no distinct depression; there was considerable swelling of the soft parts, and a contused wound about three-quarters of an inch long. Under treatment his state, instead of improving, continued very pre- carious. On the fourth day after admission an abscess formed, which, when opened, was found to be connected with a bare part of the frontal bone. His temperature still kept over 100*, his pulse varied between 60 and 76, and his bowels were obstinately constipated. At the same time the drowsy state which he was always in gave place to complete insensibility. Accordingly, it was thought advisable to have recourse to trephining. This was done on the eighth day after his admission, by enlarging the original wound, to allow the trephine to be applied. When the wound was enlarged, the adjacent parts of the temporal and frontal bones were found$