Statistics of secondary haemorrhage after amputation : with statistics of amputations at Guy's Hospital for forty-two years / by John Poland.

  • Poland, John, 1855-1937
Date:
[1887]
Catalogue details

Licence: Public Domain Mark

Credit: Statistics of secondary haemorrhage after amputation : with statistics of amputations at Guy's Hospital for forty-two years / by John Poland. 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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    per cent, died from secondary haemorrliage. In his total figures of deaths from haemorrhage Mr. Callender included 3 cases of death from recurrent haemorrhage, which brought up the percentage to ]2*1 deaths from haemorrhage. Also Mr. Bryant, in vol. xlii of the ' Transactions ' of the same society, published a paper on the causes of death after amputation, with a statistical account of 300 amputation cases from 1845—1859. Of a total of 76 fatal cases there were: Among— Primary amputations, 1 case of secondary ha9morrhage from the thigh (9 per cent.), and 1 case of secondary hasmorrhage from the arm (60 per cent.). Secondary amputations, 1 case of secondary haemorrhage from the leg (12*5 per cent.) Pathological amputations, 1 case of secondary haemorrhage from the thigh (5*5 per cent.) ; 1 case of secondary haemor- rhage from the leg (333 per cent.) Of the total amputations of the thigh (2 cases), 5 per cent.; leg (2 cases), 7 per cent.; arm (1 case), 33'3 per cent. Of primary amputations (2 cases), 7 percent, of fatal cases. Of secondary „ (1 case), 8*3 „ „ „ Of pathological (2 cases), 9*5 „ „ ,, Making a total of 7 per cent, of fatal cases, or 166 per cent, for the whole number of amputations. Five deaths from traumatic complications were excluded in the calculation of these percentages. Percentage of deaths from secondary haemorrhage in the total for the different amputations : Thigh. Leg. Arm. Total. , . , , ^ , f- ^- , Patlio- „ . „ . , Patho- Seeon- „ , , _ ^ , Patho- _ . becon- ^ , logical. Primary- Total, logjcal. dary. Total. Total, logj^i. Primary, dary. Total. 1 5 1-4 2-5 8 2-4 3 1-4 26 4 1-66 Again, in vol. iii (1870) of the Clinical Society's ' Trans- actions,' Mr. Callender, in a Note on Cases of Amputation in which Ligatures have been used, remarks, in the first place with reference to secondary hasmorrhage, that he had elsewhere published the results of 358 amputations performed at St. Bartholomew's Hospital.^ Of this number 74 died, and of these 5 died from secondary bleeding; a sixth case ' ' Med.-Chir. Trans.,' vol. xlvii.