Clinical surgical report for the year 1870 / by George Buchanan.

  • Buchanan, George, 1827-1905.
Date:
[1870]
Catalogue details

Licence: Public Domain Mark

Credit: Clinical surgical report for the year 1870 / by George Buchanan. 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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    charge, the portion of dead bone was extracted by gouging 1 a hole in the new case. The operation was protracted, and patient was under chloroform nearly an hour. In the even- ing he began to vomit, and this continued for many hours in spite of all efforts to check it. He died exhausted in 48 hours. From the above particulars it will appear that, in some of the cases, the death, though it followed the operation, is in no respect to be considered as caused by it. Hospital surgeons are often placed in the painful position of feeling j urged by motives of humanity to give the patient his only chance of life by operating in even desperate circumstances. Besides the five cases above recorded, death took place among the other patients in 24 cases—4 females and 20 males, as follows :— 1. Mrs T., aged 64, compound fracture of fibula, with bruising of anlde, by a railway injury. Sloughing took place, exposing the ankle joint. Too weak to allow of amputation. 2. J. M., aged 2 years, injured by a cart wheel which passed over her limb, lacerating it severely from knee to groin. The poor little thing suffered severely, but soon became delirious, and died in 48 hours. 3. Mrs F., aged 56, admitted in a cachectic state with a i carbuncle on the neck. Died exhausted in a few days. 4. M. C., aged 60, while in a state of intoxication fell 1 down a stair, crushing the thorax and sustaining some 1 internal injuries. Lingered for 10 days. 5. H. B., aged 20 months, a very extensive burn with ] boiling water. Sank and died in 4 days. 6. P. Ii., aged 25, sustained severe injuries from a plate! of iron falling on him. Besides a fracture of the tibia and i fibula, there were extensive contusions of the abdomen, and I symptoms of serious internal lesion. Vomiting set in almost j from the first, and ultimately it became stercoraceous. He f died in 4 days. No post-mortem examination was per- ft mitted. 7. D. S., aged 50, on the 24th April, fell down stairs and