A system of practical surgery / by William Fergusson.

  • William Fergusson
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: A system of practical surgery / by William Fergusson. Source: Wellcome Collection.

    137/878 (page 113)
    J c?!\eviden% ^ve no influence in checking the soft Zl { a, f-aSe Which S/reads chie% al™g the skin and Sther the d n Trthy 0f remark that in three of the cases out of the six above alluded to amputation was done in the thigh while the gangrene began in two of them in the lower part of the leg, and in the other actually on the foot. If the affection has already implicated e greater part of the member, the proceeding must then be effected close upon the trunk—possibly at the shoulder, and although the prospect is always most unfavourable when the knife is used upon parts already inflamed and swollen—perhaps gorged by infiltration resulting from diseased action, the surgeon need not utterly despair for even then success may result, as las the case when Mr.Law-’ EvPrvpmPU ed/t the s}loulder-j°int under such circumstances. S srrxf/r fr? r“ have seen examPies wounds hn'nt f ?! i d haTe healed most kindly,—such union, however, ing, as might be expected, by the second intention. The incisions occasionally required in severe forms of erysipelas are examples of the cKaI^,6!,1'”6. °f dc,marcation kas become visible, then the operator will ,on of a „8 6 °?13 <=“y with reference to the fonT sk° Lt „XrfTP' ,He .will of course cut above the line on the extended fimhe b-MA” ““S that possibly the affection may have he shool/l h ,“P m ,the, subJf<;nt textures; and on that account he ^should be cautmus both in his diagnosis and prognosis in such tion ftat s,,happea’ b0th in/pl:eadi« gangrene and in mortifica- tion’ v!t k • *.? does not feel warranted in resorting to amputa- on, yet, such is the tenacity of life in some individuals in the latter tfe htnsL of ‘ “ ktge p0rtl0n,0f an «tremity may be converted, after the lapse of weeks or months, into a shrivelled, dry black mass :; ach,rf t0 the body only >>y means of bone, which undergoes disjunc- tive absorption more slowly than the soft textures. In such a Sse it will be but charity to assist nature with the saw, by applying it close to the living part, where, if no dead bone be leftf grenulationswiH ‘Zlt TtmadvasotmT?ble\nay °fte-an excelIent> st“mP will be the be best to cTt fnTe r'f d 3 qUeSt.IOn in SUch cases- whether * will tion a i tie hi‘b .? kne of demarcation, or perform a regular amputa- on a little higher up: the latter should certainly be preferred in some s;m I