Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands

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J.B. Lippincott, 1862 - 614 pages
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Page 464 - ... left. The apex beats between the cartilages of the fifth and sixth left ribs, at a point about two inches below the nipple and one inch on its sternal side.
Page 336 - ... its fragments rattled within the scalp as if loose in a bag. Even that fearful missile, the shell, may crush the skull, without opening the scalp, as in the following case reported by Mr. Guthrie : A French grenadier was brought to the field hospital, the second day after the battle of Salamanca, who had received a blow on the left side of the head, probably from a piece of shell, which had caused a contusion and swelling on the left parietal bone, with a graze of the scalp, but without any opening...
Page 557 - ... united by suture. If the wound can neither be seen nor felt, it will be sufficient for the moment to provide for the free discharge of any extravasated or effused matters which may require removal. 16. A dilatation or enlargement of a wound in the abdomen should never take place unless in connection with something within the cavity rendering it necessary. 17. If the epigastric, circumflexa ilii, or other artery in the wall of the abdomen, be injured and bleed, the wound should be enlarged, and...
Page 126 - Amputation of the arm immediately below the tuberosities of the humerus ought to be done in the following manner: — the arm being raised from the side, and an assistant having compressed, or being ready to compress, the subclavian artery, the surgeon commences his incision one or two fingers' breadth beneath the acromion process, and carries it to the inside of the arm, below the edge of the pectoral muscle, then under the arm to the outside, where it is to be met by another incision, begun at...
Page 323 - ... assumed a dull heavy expression, and she manifested an unusual tendency to sleep. All the ordinary remedies having failed to relieve these symptoms, Mr Guthrie was requested to see her, and the operation of trephining was eventually agreed upon. " ' April 1st, 1841.—Mr Guthrie this day removed a disc of bone from the exact point in the parietal region to which she referred the pain. The portion of bone presented no evidence of disease ; its thickness varied from two and...
Page 556 - ... being divided, sutures should never be introduced into these structures. 6. Muscular parts are to be brought into apposition, and so retained principally by position, aided by a continuous suture through the integuments only, together with long strips of adhesive plaster, moderate compression, and sometimes a retaining bandage. 7. Sutures should never be inserted through the whole wall of the abdomen, and their use in muscular parts, under any circumstances, is forbidden ; unless the wound, from...
Page 105 - The foot being held at a right angle to the leg, the point of a knife is introduced immediately below the malleolar projection of the fibula, rather nearer its posterior than anterior edge, and then carried straight across the bone to the inner side of the ankle, where it terminates at the point exactly opposite its commencement.
Page 284 - I have never seen a person live with a foreign body lodged in the anterior lobe of the brain, although I have seen several recover with the loss of a portion of the brain at this part. My experience then leads me to believe, that an injury of apparently equal extent is more dangerous on the forehead than on the side or middle of the head, and much less so on the back part than on the side.
Page 115 - I made an incision from malleolus to malleolus, directly across the heel. A second incision was next carried along the edge of the sole from the middle of the first, to a point opposite the...
Page 617 - GLUGE (GOTTLIEB). ATLAS OF PATHOLOGICAL HISTOLOGY. Translated by Joseph Leidy, MD, Professor of Anatomy in the University of Pennsylvania, Ac.

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