Chapter XXVIII: Part 28

Femur, removal of the head of, 90, 150, 564, 587.
gunshot wounds of, 145, 579, 587.
secondary amputation in, 145.
of the head and neck of, 150.
bedsteads for, 152.

Fingers, amputation of, 139.
mortification of, rarely caused by wound of axillary artery, 46.

Fissure of the skull, 311.

Foot, gunshot wounds of, 107, 112.
amputation of, 114.
amputation of, by Roux’s plan, 108.
at the ankle-joint, Mr. Syme’s operation for, 105.
artificial, M. de Beaufoy’s, 119.

Forearm, gunshot wounds of, 137.
amputation of, 137.
by flap operation, 137.
by circular incision, 138.
wounds of arteries of, 238.

Forehead, gunshot wounds of, causing loss of sight, 350.

Foreign body, lodgment of in a nerve, 47.

Fowler’s solution of arsenic, in hospital gangrene, 169.

Fractures, compound, 145.
splints for, 153.

Fracture, gunshot, of the leg, 154, 588.
Mr. Luke’s apparatus for, 154.
of the head of the femur, 150.
of the upper extremities, 120.
of the shoulder-joint, 120.
of the elbow-joint, 136.
of the arm, 121, 156.
of the skull, 311.
of the skull by contre-coup, 316.
of the base of the cranium, 317.
of the inner table of the skull, 321, 324, 328.
with depression at the back part of the skull, 338.
of the superior maxillary bone, 582.
of the ribs in gunshot wounds of the chest, 429.
of costal cartilages, ditto, 429.

Frontal sinuses, gunshot wound of, 350.

Fungus, or hernia cerebri, 352.

Gall-bladder, gunshot wounds of, 530.

Gangrene, hospital, 163.
Fowler’s solution of arsenic in, 169.
mineral acids in the treatment of, 70, 168.
sloughing or pulpous form of, 166.
conclusions respecting, 173.
local and dry, from wound of the main artery of the lower extremity,
44, 226.
traumatic, 42.

Glands of Brunner, Grew, and Peyer, 486.
solitary, 487.

Gluteal artery, ligature of, 259.

Goyraud’s operation for ligature of the internal mammary, 473.

Grew, glands of, 486.

Gross’s experiments on intestine, 506.

Gunshot fractures of the upper extremities, 120.
lower ditto, 154.
wounds of axillary artery, rarely cause mortification of hand or
fingers, 46, 285.
extraction of the ball in, 32.
of the foot, 107, 112.
knee-joint, 94, 574.
shoulder-joint, 120.
arm, 121, 156.
elbow-joint, 136.
forearm, 137.
hand, 139.
femur, 145, 579, 587.
head and neck of, 150.
face, 479.
leg, 154, 588.
lower jaw, 480.
skull, 346, 584.
frontal sinuses, 350.
forehead, causing loss of sight, 353.
orbit, 350, 583.
superior maxillary bone, etc., 582.
chest, 426.
statistics of, 426.
fracture of the ribs in, 428.
costal cartilages in, 429.
involving the lungs, 429.
heart, 468.
abdominal parietes, 489.
intestine, 515.
liver, 528.
gall-bladder, 530.
stomach, 535.
spleen, 536.
kidney, 538.
spermatic cord and testicle, 539.
penis, 540.
pelvis, 541.
bladder, 546.
rectum, 555.
inflammation consequent on, 30.

Guthrie, Mr., mode of amputating at the hip-joint, 79, 83.
theory respecting wounded arteries, 189.

Hall, Dr. Marshall, excito-motory system of, 286.

Hand, gunshot wounds of, 139.
mortification of, rarely caused by wound of the axillary artery,
46, 235.
compression in wounds of, 238.

Head, injuries of, 283.
affecting the brain, 283.
causing abscess of the liver, 356.
mania, 299.

Heart, sounds of, 465.
relative position of, 464.
wounds of, 464.
recovery after, 464, 468.
insensibility of, 471.
laceration and rupture of, 472.

Hernia cerebri, 352.
of the lung, 456.
of the stomach or bowels into the chest, after wounds of the
diaphragm, 463.

Hevin on the swallowing of knives, 535.

Hilton’s operation for opening into the colon, 558.

Hip-joint, amputation at, 77, 92, 562, 563, 586.
Mr. Guthrie’s operation for, 79, 83.
Langenbeck’s, 80.
Mr. Brownrigg’s, 82.
injury to, with excision of elbow-joint, 581.

Hemorrhage after a gunshot wound, 25.
secondary, 208.
from the intercostal artery, 474.
after the carrying away a limb by cannon-shot, 25.
from sloughing stumps, 71.
means used by nature for the suppression of, 187, 191.
from large arteries, mode of arresting, 234.
from wounds in the hand, compression in, 288.
in penetrating wounds of the chest, 421.
in wounds of the heart, 468.
in penetrating wounds of the abdomen, 510.

Hospital gangrene, 163.
Deputy Inspector-General Taylor on, 171.
Dr. Tice on, 165.
M. Delpech on, 165, 166, 167.
Mr. Blackadder on, 164, 169.
Dr. Boggie on, 168, 169.
Dr. Walker on, 170.
mineral acids in the treatment of, 70, 168.
use of Fowler’s solution of arsenic in, 169.
sloughing or pulpous form of, 166.
conclusions respecting, 173.
hospital returns respecting, 175.

Hospital, statistics of operations, 158.

Hughes, Dr., on pneumothorax, 396.

Humerus, amputation of, below the tuberosities, 127.
excision of the head of, 126, 571.
by Langenbeck’s operation, 130.
M. Baudens on, 133.
ball lodged in the head of, 128.
amputation of, by the circular incision, 134.
Mr. Luke’s, by two flaps, 135.
gunshot fracture of, 156.

Hunter, John, on inflammation of the veins, 70.

Hunterian theory of aneurism, 188.
inapplicable to the treatment of wounded arteries, 189.

Iliac, external, ligature of, 257.
internal, ligature of, 256.

Iliacs, common, relative situation of, 251.
ligature of, 252.

Immediate amputation, question as to, 51.
cases for, 150.
tumors of the scalp, 340.

Incisions, use of, in erysipelas phlegmonodes, 40.

Inflammation consequent on gunshot wound, 30.
acute idiopathic, of the pleura, 370, 376.
of the lungs, 373, 380.
typhoid, of the lungs, 388.
of the pleura, 390.

Innominata, ligature of, 273.

Inspiration, 368.

Intercostal artery, wounds of, 474.

Internal carotid, wounds of, through the mouth, 245.
operation for, 245, 248, 272.
mammary artery, wounds of, 473.
strangulated hernia, after a wound of the diaphragm, 463.

Intestine, structure of, 482.
rupture of, 491.
protrusion of, in penetrating wounds of abdomen, 501, 509.
wounds of, 504, 508.
punctured, 504, 509.
Travers and Gross’s experiments on, 506.
divided, treatment of, 507.
Ramdohr on, 507.
wounded, application of continuous suture to, 508.
gunshot wounds of, 515.

Jaw, lower, wounds of, 480.
Baudens’s operation for, 480.
upper, wounds of, 479.

Jones’s mode of excising the knee-joint, 97, 98.

Knee-joint, gunshot wounds of, with fracture of the bones, 94.
excision of, 97.
Jones’s operation for, 97, 98.
Dr. Gurdon Buck’s operation for, 97.
loss of, by a round shot, 574.

Kidney, wounds of, 537.

Knives, etc. in the stomach, 535.
operation for their removal, 536.

Laceration of the femoral artery, 208.
brain by contre-coup, 340.
and rupture of the heart, 472.

Langenbeck’s mode of amputating at the hip-joint, 80.
excision of the head of the humerus, 130.
phalangeal joints, 140.
metacarpal bone of thumb, 141.

Larrey’s operation for opening the pericardium, 469.
ligature of the femoral artery, prior to amputation at the
hip-joint, 79.

Lateral sinus, wounds of, 351.

Larynx, wound of, 571.

Lee, Mr. Henry, on phlebitis, 70.

Leg, gunshot fractures of, 154, 588.
amputation of, 99.
by the circular incision, 99.
by Luke’s flap operation, 101.
immediately below the tuberosity of the tibia, 102.
apparatus for compound fracture of, 154.
for slinging, when broken, 589.

Ligature on an artery, effects of, 203.
size of, etc., 207.
one, utterly insufficient to control hemorrhage from a wounded
artery, 245.

Lisfranc’s amputation at the shoulder-joint, 125.

Liver, abscess of, consequent to injuries of the head, 356.
wounds and injuries of, 528.
removal of portions of, 533.
lodgment of balls in, 532.

Longitudinal sinus, wounds of, 351.

Luke’s flap amputation of the thigh, 86.
leg, 101.
arm, 135.
apparatus for compound fracture of the leg, 154.

Lung, hernia of, 456.

Lungs, acute inflammation of, 373, 380.
morbid changes caused by, 380.
typhoid inflammation of, 388.
gunshot wounds of, 413.
removal of splinters from, 445.

Machine for raising wounded soldiers in bed, 589.

Mammary, internal, wounds of, 473.
Goyraud’s operation for ligature of, 473.

Mania caused by concussion of the brain, 299.

Maxillary bone, superior, gunshot fracture of, 582.

Membrane, mucous, of the stomach, 485.

Meningeal artery, middle, injury of, 314.

Metacarpal bone of thumb, excision of, 140.
bones, amputation of, 139.

Metatarsal bone, amputation of, 118.

Mineral acids, use of, in hospital gangrene, etc., 70, 168.

Mortification, 42.
from wind of cannon-shot, not admitted, 43.
from extensive injuries from large shot, etc., 44.
from gunshot wound of main artery of a limb, 45, 226.
of hand and fingers, rarely caused by wound of the axillary
artery, 46, 235.
from cold, 46.

Motions of the brain, 303.

Mouth, wound of the internal carotid through, 245.
operation for, 245, 248, 272.

Mucous membrane of the stomach, 485.

Musket-ball wounds. See _gunshot wounds_.

Neck, wounds of, 242, 475.
Velpeau on wounded arteries of, 246.

Nerve, consequences of the section of, 47.
lodgment of a foreign body in, 47.
enlargement, of extremity of, after amputation, 89.
consequences of incomplete section of, 47.

Nose, wounds of, 477.

Occiput, depression and fracture of, 338.

Œgophony, 373.

Ollivier on lacerations and ruptures of the heart, 472.

Omentum, protrusion of, in penetrating wounds of abdomen, 498.

Operations, hospital statistics of, 158.

Orbit, wounds of, 350, 583.

Os calcis, removal of, 104.

Patella, compound gunshot fractures of, 95.

Paracentesis thoracis, 394, 455.

Paralysis, the result of compression of the brain, 305.

Parotid gland, wounds of, 479.
and duct, wounds of, 479.

Pelvis, wounds of, 541.
balls lodging in, 545.
and abdomen, conclusions respecting wounds of, 555.

Penis, wounds of, 540.

Pericardium, Larrey’s operation for opening, 469.
Skielderup’s ditto, 469.

Peroneal artery, ligature of, 266.

Peyer, glands of, 486.

Phagedena gangrenosa, 163.

Phalangeal joints, excision of, 140.

Phalanges, amputation of, 140.

Phlebitis, 60, 62, 63.
Mr. Hunter on, 70.
Mr. Henry Lee on, 70.
Dr. Hughes Bennett on, 71.

Plantar artery, external, ligature of, 267.

Pleura, acute idiopathic inflammation of, 370, 376.
typhoid ditto, 390.
effusion into the cavity of, 371, 378, 420.
purulent ditto, 379, 390.
operation for, 393.
balls or other foreign bodies loose in the cavity of, 418.

Pneumonia, 373, 379.
morbid changes caused by, 380.
typhoid, 388.

Pneumothorax, 396, 402.
Dr. Hughes on, 396.

Popliteal aneurism, operation for, 263.
artery, not to be tied, unless wounded and bleeding, 265.
wound of, 573.

Pourriture d’hôpital, 163.

Primary amputation, advantages of, 59.
not required in gunshot wounds of the upper extremity, 120.

Profunda femoris, ligature of, 261.
wound of, 573.

Protrusion of bone after amputation, 89.
of the brain, 352.

Pulpous form of hospital gangrene, 166.

Purulent deposits, 61, 68.

Quekett, Mr., experiments on the anatomy of the parts engaged in
empyema, and the operation by incision, 452.
on the structure of the agminated glands of Grew and Peyer, 486.

Radial artery, wound of, 238.
ligature of, 282.
wound of, in the hand, 238.
operation for, 282.

Ramdohr on the treatment of divided intestine, 507.

Ravaton on protrusion of omentum in penetrating wounds of abdomen,
501.

Rectum, wounds of, 555.

Removal of the head of the femur, 90.
and neck of, in gunshot wounds of, 150.
os calcis, 104.
astragalus and calcis, 115.

Respiration, the four movements of, 285.
distinction of sounds during, 367.

Respiratory murmur, 367.

Rhoncus crepitans, 370, 375.

Ribs, fracture of, in gunshot wounds of the chest, 428.
the cartilages of, 429.

Roux’s amputation of the foot, 108.

Rupture of the heart, 472.
ventral, 488, 493.
of intestine, by violence, 491.
of the solid viscera, by violence, 493.

Scalp, immediate and secondary tumors of, 341.
wounds of, 361.
erysipelas of, 359, 363.

Sciatic artery, ligature of, 259.

Scrotum, erysipelas phlegmonodes of, 42.

Secondary amputations, 59, 141.
in gunshot wounds of the femur, 145.
hemorrhage, 208.
tumors of the scalp, 341.

Shock or constitutional alarm, 26.

Shoulder-joint, gunshot wounds of, 120.
amputation at, 122.

Sight, loss of, from a musket-ball traversing the forehead, 350.

Sinuses, frontal, gunshot injury to, 350.

Sinuses, longitudinal and lateral, wounds of, 351.

Skielderup’s operation for opening the pericardium, 469.

Skull, simple fissure or fracture of, 311.
fracture of, by contre-coup, 316.
the inner table of, 321, 324, 328.
depression of, 329.
and fracture of back part of, 338.
gunshot wounds of, 346, 584.
balls separating the sutures of, 349.
removal of a large portion of, 359.

Sloughing stumps, hemorrhage from, 71.
form of hospital gangrene, 166.
ulcer, 164.
wounds, use of mineral acids in, 70.

Snow, Dr., on chloroform, 55.

Solitary glands, 487.

Sounds, distinction of, in respiration, 367.
of the heart, 465.

Spermatic cord, wounds of, 539.

Sphacelus, dry, from wound of main artery of lower extremity, 45, 226.

Spine, effects of strychnia in injury of, 574.

Spleen, wounds and injuries of, 536.
removal of, 538.

Splints for fractures, 153.

Splinters, removal of, from a wounded lung, 445.

Statham’s operation for removal of astragalus, 110.

Statistics, hospital, of operations, 158.
Burdach’s, of lesions of the brain, 306.
of ligature of common carotid, 241.

Stomach, mucous membrane of, 485.
wounds of, 533.
gunshot wounds of, 535.
fistulous opening in, after gunshot wounds of, 535.
knives in, 535.
operation for the removal of, 536.

Structure of arteries, 176.
of intestine, 482.

Strychnia, effects of, in injury of the spine, 574.

Subclavian, ligature of, 274.
above the clavicle, 276.

Suppuration on the surface of the dura mater and brain, 342.

Suture, continuous, for wounded intestine, 508.
for incised wounds in abdominal parietes, 493.

Sutures of the skull, separated by a ball, 349.

Syme, Mr., amputation at the ankle-joint, 105.
on the treatment of approaching death from chloroform, 58.

Tarsus, amputation at, 112.

Taylor, Deputy Inspector-General, on hospital gangrene, 171.
on amputations under chloroform, 54, 562.
on wound of the larynx, 572.
on the privations endured by the British soldiery in the Crimea,
and their effects, 562.

Testicle, removal of, after a wound, 539.

Thigh, amputation of, by the circular incision, 83.
by Luke’s flap operation, 86.
arm and abdomen, extensive injury to, 576.
gunshot fractures of, 579, 587.

Thumb, excision of metacarpal bone of, 140.

Tibia, amputation of the leg below the tuberosity of, 102.

Tibial artery, anterior, ligature of, 268.
posterior, ditto, 266.

Tice, Dr., on hospital gangrene, 165.

Tongue, wounds of, 481.

Trant’s forceps for artificial anus, 528.

Traumatic aneurism, formation of, 214.
gangrene, 42.

Travers’s experiments on intestine, 506.

Trephine not applicable in simple fracture of the skull, without
depression, 312.
manner of applying, 358.
use of, at different periods, 327.
frequent application of, 359.

Trochanter, head and neck of the femur, excision of, 564.

Tumors, immediate and secondary, of the scalp, 341.

Typhoid pleuritis, 390.
pneumonia, 388.

Ulnar artery, ligature of, 281.
wound of, 238, 281.

Valvulæ conniventes, 483.

Veins, inflammation of, 60, 62.
Mr. Hunter on, 70.
Mr. Henry Lee on, 70.
Dr. Hughes Bennett on, 71.

Velpeau on wounded arteries of the neck, 246.

Ventral rupture, 488, 493.

Vertebral artery, wounds of, 242.
ligature of, 248.

Vesicular, or respiratory murmur, 367.

Viscera, rupture of, 491.
protrusion of, in penetrating wounds of the abdomen, 498.

Wakley, Mr. T., removal of os calcis and astragalus, 115.

Walker, Dr., on hospital gangrene, 170.

Wounded, bearers for the, 156.

Wound by a musket-ball, 25.
shock or alarm after, 26.

Wounds of entrance and exit, made by a musket-ball, 27, 489.
from flattened balls, pieces of shell, etc., 28.
gunshot, formation of sinuses in, 31.
extraction of ball and other foreign substances, 32.
gunshot, the bone struck or penetrated, not broken, the ball
lodging, 36.
of the skull, 346, 584.
of the forehead, causing loss of sight, 350.
of the frontal sinuses, 350.
by a bayonet thrust, 37.
of the neck, with hemorrhage, 242, 475.
of the larynx, 571.
Deputy Inspector-General Taylor on, 572.
of the orbit, 350, 583.
of the longitudinal or lateral sinus, 351.
of the arm, 121, 156.
of the forearm, 137.
of the profunda femoris, 573.
of the popliteal artery, 573.
of the abdomen, 488.
causing abscess in paries of, 489.
gunshot ditto, 489, 515.
incised ditto, 490.
followed by ventral rupture, 493.
penetrating, 497.
followed by protrusion of viscera, 498.
of omentum, 498.
of intestine, 504, 508.
punctured ditto, 504, 509.
of the chest, 364.
non-penetrating, 364.
incised, 364, 414.
of both sides of the chest, 417.
large, penetrating, of the chest, the lung being injured, 418.
of the chest, conclusions respecting, 424.
gunshot of the chest, 426.
statistics of, 426.
fracture of the ribs in, 428.
costal cartilages in, 429.
of the lung, 429.
diaphragm, 458.
heart, 464.
internal mammary and intercostal arteries, 473.
face, 476.
eyelids and brow, 477.
eye, 477.
nose and ear, 477.
penetrating, of the bones of the face, 479.
of the parotid gland and duct, 479.
upper jaw, 479.
lower jaw, 480.
of the head and neck of femur, 150.
of the knee-joint, gunshot, 94.
of the patella, ditto, 95.
of the leg, 154.
of the foot, 107.
of the tongue, 481.
of the liver, 528.
of the gall-bladder, 530.
of the stomach, 533.
of the stomach, gunshot, 535.
of the spleen, 536.
of the kidney, 538.
of the spermatic cord and testicle, 539.
of the penis, 540.
of the pelvis, 541.
gunshot, of the bladder, 546.
of the rectum, 555.
of the abdomen and pelvis, conclusions respecting, 555.

Wrist, amputation at, 138.

INDEX OF CASES.

A soldier, wounded in the thigh, the ball passing between the femoral
artery and vein, 26.

Generals Sir Lowry Cole, Sir E. Packenham, and Colonel Duckworth;
injuries to arteries, 26.

Colonel Sir W. Myers and General Sir R. Crawford, illustrating the
shock of a severe wound, 26, 27.

Colonel Ross; musket-shot wound of arm: gradual descent of the ball to
the elbow, 36.

Erysipelas phlegmonodes of the left arm, treated by incisions, 41.

Local mortification of a leg struck by a cannon-shot, the internal
textures being destroyed, 43.

Section of the brachial plexus of nerves by a gunshot wound, causing
paralysis, complicated by gunshot wound of the knee-joint, requiring
secondary amputation, 47.

Sir James Kempt; injury to a nerve, 48.

Admiral Sir Philip Broke; wound of skull, with paralysis, 48.

Brigade-Major Bissett; gunshot wound, injuring the left great sciatic
nerve, perineum, and rectum, 49.

Mr. Wrottesley, of the Engineers; right thigh shattered by a
cannon-shot, etc., 53.

An East Indian; severe wound of left thigh from the explosion of his
gun; amputation, death, 53.

A soldier of the siege train before Sebastopol; the left thigh nearly
carried off by a cannot-shot, 54.

Purulent deposit, after amputation, 61.

Phlebitis, 64.

Jane Strangemore; amputation of limb for white-swelling of the
knee-joint; fatal phlebitis, 64.

Endemic fever, after secondary amputation, with subacute pneumonia,
67, 68.

Sloughing of a spear-wound of the arm, 69.

Captain Flack; cannon-shot wound of left thigh, 77.

Excision of the head and neck of the femur, 94.

Colonel Donnellan; musket-shot wound of knee-joint, 96.

Excision of knee-joint, by Dr. Gurdon Buck, 97. by Mr. Jones of
Jersey, 97, 98.

Amputation of the foot, by Roux’s operation, 108.

Ball lodged in the astragalus, 110.

Excision of the astragalus and calcis, 115. head of the humerus, a
musket-ball having lodged in the bone, 128, 131.

Gunshot wounds of the shoulder-joint, 131, 132.

Lieutenant Timbrell; gunshot fracture of both thighs; recovery without
amputation, 149.

Illustrative of the means used by nature for the suppression of
hemorrhage, 194.

Illustrative of gunshot wounds of the femoral artery, 196, 208.

Ligature of the right common iliac artery, for supposed gluteal
aneurism, 206.

Punctured wounds of arteries, 210.

Colonel Fane; wound of carotid by an arrow; formation of an aneurism,
211.

Scythe wound of the femoral artery, 213.

Wound of femoral artery with a pen-knife; closure of wound; formation
of traumatic aneurism, 215.

Gunshot wound of the thigh; severe hemorrhage finally arrested without
ligature of the artery, 216.

Don Bernardino Garcia Alvarez; gunshot wound of the thigh; hemorrhage
from a deeply-seated vessel; ligature of the common femoral; fatal
mortification. The femoral artery quite sound, 218.

Duckshot wound of thigh; closure of wound; aneurismal swelling
punctured; hemorrhage; ligature of femoral high up; death, 218.

Captain Seton; gunshot wound of upper part of thigh; hemorrhage from
a superficial branch of the femoral; ligature of the external iliac;
fatal peritonitis; errors in the treatment, 219.

Dry gangrene, from injury to the main artery of the lower extremity,
227. following an injury to the popliteal space; large incision in the
calf, evacuating a quantity of coagulated blood; subsequent separation
of the limb, 228.

Gunshot wound of the posterior tibial artery; secondary hemorrhage and
traumatic aneurism; ligature of the femoral artery, renewal of the
hemorrhage, amputation, death, 230. of the peroneal artery, hemorrhage
and formation of an aneurism; ligature of the wounded vessel;
recovery, 231.

Axillary aneurism from a bruise; ligature of the subclavian; rupture
of the sac; death, 236.

Shell injury; amputation of right leg and arm; secondary hemorrhage;
ligature of the subclavian near the seat of the bleeding, 237.

Wounds of the vertebral artery, recorded by Breschet, Chiari,
Ramaglia, and Maisonneuve, 242.

Wound of the external carotid during an operation; utter insufficiency
of one ligature, 244, 245.

Gunshot wound of head, face, and neck; injury of external carotid and
its branches; partial slough of internal carotid; ligature of latter
vessel; compression; recovery, 247.

Wound of internal carotid through the mouth; successful ligature of
the vessel, 249.

Ligature of the common iliac artery, 252.

Wound of the gluteal artery; ligature of that artery and of the
internal iliac; death, 260.

Wound of the popliteal artery by a mortising chisel; secondary
hemorrhage; ligature of the femoral unsuccessful; cure by ligature
of the popliteal, 265.

Balls lodging in the brain, 284.

Concussion in a child, 289.

Coup-de-soleil, 293.

Concussion of the brain, passing into excitement, etc., 294.

Gouty inflammation, transferred to the brain, 296.

Illustrative of the treatment of concussion, 297.

Concussion, complicated by the symptoms of compression, 298.
followed by mania, 300.

Illustrative of the after-effects of concussion, 301.

Fatal paralysis, caused by compression of the brain, 307.

Illustrative of the different forms of paralysis following compression
or irritation of the brain, 309.

Fracture of the skull without depression, 311.

Fracture of the skull, with injury to the middle meningeal artery,
315.

Fracture of the base of the cranium, 317.

Fracture of the inner table of the skull, without injury to the outer
plate of bone, 322.

Fracture of the inner table of the skull, without injury to the outer;
subsequent hemiplegia of the right side; operation with the trephine
two years afterward, 323.

Illustrative of a peculiar fracture of the inner table of the skull,
with a cutting instrument, 325.

Gunshot wounds of the skull and brain, the ball lodging,
331, 343, 348.

Injury to the head from a fall; large abstraction of blood, 334.

Comminuted fracture of the skull, by a piece of shell, 336.

Injury to the head, the symptoms of concussion and compression being
combined, 338.

Gunshot fracture of the left parietal, with suppuration on the surface
of, and in the substance of the brain, 343.

Gunshot wound of the skull, the breech-pin of the gun lodging in the
brain, 348.

Separation of the sagittal suture by a fall, consequent to a gunshot
wound of the body, 349.

Gunshot injury to the frontal sinuses, 350.

Wounds of the orbit, 351.

Fungus cerebri, 353.

Major D.; gunshot wound of the forehead; incomplete recovery, 357.

Loss of a large portion of the skull; reported by Dr. Drummond, 359.

Cannon-shot wound of the head and face, 361.

Wound of scalp and parietal bone, 362.

Non-penetrating wounds of the chest, 365.

Acute pneumonia and pleurisy, 383.

Dr. Wendelstadt; empyema, 398.

Mr. Winter; gunshot wound of the chest, followed by empyema, 399.

Lance and musket-shot wounds of the chest, causing empyema, 399.

Mr. Cornish; pneumothorax and phthisis, 403.

Pistol shot wound of the chest, with pneumothorax and empyema, 404.

Lord Beaumont, 407.

Sword wound of the chest, with emphysema, 412.

Wounds of both sides of the chest, 417.

Penetrating wounds of the chest, the lung being injured, 418.

Sword wounds of the chest, 420.

Penetrating wounds of the chest, with internal hemorrhage, 423.

Fracture of rib, in gunshot wound of chest, 428, 447.

General Sir Lowry Cole; gunshot wound of the lung, 430.

Illustrative of gunshot wounds of the lungs, 431.

General Sir A. Barnard, 431.

Major-General Broke, 432.

The Duke of Richmond, 433.

Mrs. M., 435.

Sir C. B.; effusion, 436.

Gunshot wounds of the lungs, with fracture of ribs, effusion, etc.,
436.

Lieut.-Col. Dumaresq, 440.

A two-pound shot passing through the right side of the chest, 441.

Post-mortem appearances in gunshot wounds of the chest, 442.

Mr. Drummond, 443.

Gunshot wound of the lung; extensive enlargement of the wound; removal
of splinters and of a piece of cloth, 446.

Gunshot wound of the lung, remaining fistulous; death from pneumonia
seven months afterward, 447.

Gunshot wounds of the chest, the ball or other foreign body being
loose in the cavity of the pleura, 448.

Major-General Sir R. Crawford, 449.

Gunshot wounds of the chest, the ball or other foreign body being
inclosed in a cyst, 451.

Wounds of the diaphragm, 458.

Captain Prevost, 458.

The Duc de Berri, 469.

Lance wound of the heart and diaphragm, 470.

Latour d’Auvergne, premier grenadier de France, 472.

General Sir G. Walker; gunshot wound of the chest; secondary
hemorrhage from the intercostal artery, 474.

Gunshot wound of the chest, with rapidly fatal hemorrhage from a
wounded intercostal artery, 475.

Gunshot wounds of the neck, 476.

General Sir E. Packenham; twice shot through the neck, on different
occasions, 476.

Lieut.-General Sir A. Leith; amaurosis from a sword wound in the
forehead, 478.

General Sir Colin Halkett; gunshot wounds of the neck, thigh, and
face, 479.

Gunshot fracture of the lower jaw, 480.

Colonel Carleton; gunshot fracture of the lower jaw, 481.

Captain Fritz; bursting of his gun; lodgment of the iron breech in the
forehead; its descent through the nares into the mouth, 482.

Ventral rupture, the result of severe bruises or other injuries to the
abdominal parietes, 488.

Severe and extensive wound of abdominal parietes from a musket-shot;
exposure of the peritoneum, healing by granulations, 489.

General Sir John Elley; sabre wound of abdomen, involving the stomach,
and followed by a small hernia, 490.

Rupture of intestine from external injury, 491.

Rupture of kidney and injury to the spine from a cannon-shot, 492.

Fatal inflammation of omentum, intestines, and peritoneum, with
effusion, from a severe bruise inflicted by a ricochet cannon-shot,
492.

Penetrating wound of abdomen by a ramrod, 497.

Penetrating wounds of abdomen, with protrusion of omentum, 500.
with protrusion of intestine, 502.

Penetrating wound of abdomen, with formation of abscess, 505.

Sabre wounds of the abdomen, with extensive hemorrhage, 510.

Sabre wound of abdomen, with suppuration in the cavity, reported by
Ravaton, 512.

Strangulated inguinal hernia; operation; sloughing of the intestine,
etc., 512.

Gunshot wounds of abdomen, with protrusion or injury of intestine,
516.

A Russian officer, with a gunshot wound of abdomen, a tape-worm cut in
two by the ball, causing intense suffering until it was extracted,
524.

Lieut.-General Sir S. Barns; gunshot wound of the liver, 529.

Gunshot wounds of the liver and gall-bladder, 530.

In which portions of the liver have been removed, 533.

In which a pig’s tail was thrust up the rectum, 535.

In which the spleen was removed, 537.

Wounds of the kidney, 538.

Medullary sarcoma of the right testicle, involving the lumbar glands,
ending fatally, caused by a gunshot wound of the testis, 540.

Gunshot wound of the penis, 540.

Pistol-shot wound in the last dorsal or upper lumbar vertebra, causing
complete paraplegia, 541.

Gunshot wounds of the pelvis, 542.

The late Colonel Wade; gunshot wound, the ball passing through the
ilium; lodgment of the ball for thirty-five years, 542.

The late General Sir Hercules Packenham, G.C.B.; musket-shot wound of
the pelvis, lodgment of the ball, 542.

Colonel Sir J. M. Wilson; three musket-shot wounds of the left hip,
one passing upward through the ilium, and lodging against or in the
spine, causing paralysis of the left lower extremity, etc.; lodgment
of the ball, 543.

Gunshot wound of the external and common iliac arteries, 544. of the
pelvis, the ball lodging, extracted on the forty-fifth day after the
wound; reported by La Motte, 545.

Captain Campbell; pistol-shot wound of abdomen; injury to spine, 545.

Gunshot wounds of the bladder, 549.

Captain Sleigh; gunshot wound of the pelvis, the ball entering the
left groin, over Poupart’s ligament, and traversing the bladder
obliquely; retention of urine; urethra obstructed by pieces of bone,
551.

Calculus formed around the ball in the bladder, 552.

Pistol shot wound of the bladder; retention of urine; tumor in the
perineum containing bloody urine, punctured; the ball, portions of
shirt, etc., extracted from the bladder; reported by Baron Percy,
554.

Captain Gordon, R. N.; rifle-shot wound on one side of the sacrum,
the ball wounding the rectum, and passing out on the other side of
the sacrum; paralysis of the bladder for a time; permanent partial
paralysis of the lower limbs, 555.

Gunshot wounds of the rectum, 555.

CASES IN THE ADDENDA.

Amputation of finger; death caused by exhibition of chloroform, 561.

Successful amputation of the arm at the shoulder-joint, and of the
thigh in the lowest third, without chloroform, 561.

Amputations while under the influence of chloroform, reported by
Deputy Inspector-General Alexander, 563.

Sir T. Trowbridge; amputation of both feet under chloroform, 563.

Amputations at the hip-joint under chloroform, 564.

Excision of the head, neck, and great trochanter of the femur,
reported by Mr. O’Leary, 564.
reported by Staff-Surgeon Crerar, 565.
reported by Dr. Hyde, 570.

Excision of the head of the humerus, reported by Dr. M’Andrew, 571.

Lieut. Evans; fatal case of wound of the larynx;
reported by Dr. Gordon, 571.

Wounds of the profunda femoris, and of the popliteal artery,
reported by Mr. De Lisle, 573.

Loss of the right leg by a round shot, 574.

The effects of strychnia in injury of the spine, etc., reported by
Dr. Burgess, 574.

Extensive injury by a round shot to the abdomen, right arm, and thigh,
reported by Dr. Rooke, of the Civil Service, 576.

Gunshot fracture of the left femur, reported by Mr. Lyons, Pathologist
to the Army in the East, 579.

Excision of the elbow-joint for a gunshot wound, reported by
Dr. Milroy, 580.
with lacerated wound of the left hip, and comminuted fracture of the
ilium, reported by Mr. Atkinson, 581.
for a comminuted fracture of the bones by a piece of shell, reported
by Dr. Scott, 582.

Grape-shot wound of the superior maxillary and malar bones, reported
by Mr. Atkinson, 582.

Musket-shot wound of the right temple, fracturing the supra-orbital
ridge, reported by Mr. De Lisle, 583.

Musket-shot fractures of the skull, reported by Mr. Ward, Mr. Wall,
and Mr. Longmore, 584, 585.

THE END

MEDICAL WORKS

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Leidy’s Anatomy.

Human Anatomy: An Elementary Text-book for Students. By Joseph Leidy, M.D., Professor of Anatomy in the University of Pennsylvania. Elegantly illustrated from numerous original drawings. One vol. 8vo. $5.00

Macleod’s Surgery of the Crimean War.

Notes on the Surgery of the War in the Crimea, with Remarks on the Treatment of Gunshot Wounds. By George H. B. Macleod, M.D., F.R.C.S., Surgeon to the General Hospital in Camp before Sebastopol, Lecturer on Military Surgery in Anderson’s University, Glasgow, etc. etc. One vol. 12mo. $1.50.

SUMMARY OF CONTENTS.

Chap. I.--The History and Physical Characters of the Crimea. The Changes of the Seasons during the occupation by the Allies. The Natives, and their Diseases.

Chap. II.--Drainage of the Camp. Water Supply. Latrines. Food. Cooking. Fuel. Clothing. Housing. Duty. Effect of all these combined on the health and diseases of the soldiers. Hospitals. Distribution of the Sick. Nursing, male and female. Transport.

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Chap. IV.--Distinction between Surgery as practiced in the Army and Civil Life. Soldiers as patients, and the character of the Injuries to which they are liable. Some peculiarities in the Wounds and Injuries seen during the war.

Chap. V.--The “Peculiarities” of Gunshot Wounds, and their General Treatment.

Chap. VI.--The Use of Chloroform in the Crimea. Primary and Secondary Hemorrhage from Gunshot Wounds. Tetanus. Gangrene. Erysipelas. Frost-bite.

Chap. VII.--Injuries of the Head.

Chap. VIII.--Wounds of the Face and Chest.

Chap. IX.--Gunshot Wounds of the Abdomen and Bladder.

Chap. X.--Compound Fracture of the Extremities.

Chap. XI.--Gunshot Wounds of Joints. Excision of Joints, etc. etc.

Chap. XII.--Amputation.

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Principles and Practice of Surgery.

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Kolliker’s Anatomy.

Manual of Human Microscopical Anatomy. By A. Kolliker, Professor of Anatomy and Physiology in Wurzburg. Translated by Geo. Bush, F.R.S., and Thomas Huxley, F.R.S. Edited, with notes and additions, by J. Da Costa, M.D. Illustrated by 313 engravings on wood. One vol. 8vo. $3.75.

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The reputation of Professor Kolliker, acquired by his former and larger work on microscopical anatomy, will be enhanced by this text book on Histology, for such it is destined to be pre eminently. The text is fully illustrated by engravings, greatly adding to the value of the work, and accompanied by explicit explanations of the figures. We commend it to the profession, and to students especially, as worthy of their patronage.--_N. Y. Medical Gazette._

Drake’s Diseases of the North American Valley.

A Systematic Treatise, Historical, Etiological, and Practical, on the principal diseases of the interior valley of North America, as they appear in the Caucasian, African, Indian, and Esquimaux varieties of its population. By Daniel Drake, M.D. Edited by S. Hanbury Smith, M.D., formerly Professor of the Theory and Practice of Medicine in Starling Medical College, Ohio; and Francis G. Smith, M.D., Professor of the Institute of Medicine in the medical department of Pennsylvania College, Philadelphia. One vol. 8vo. Sheep, $5.00.

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Horner’s United States Dissector.

The United States Dissector; or, Lessons in Practical Anatomy. By William E. Horner, M.D., late Professor of Anatomy in the University of Pennsylvania. Fifth edition, carefully revised, and entirely remodeled. By Henry H. Smith, M.D., fellow of the College of Physicians of Philadelphia, etc. With one hundred and seventy-seven new illustrations. One vol. demi 8vo. $2.00.

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Malgaigne’s Treatise on Fractures.

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A Treatise on Therapeutics and Pharmacology, or Materia Medica. By Geo. B. Wood, M.D., Professor of the Theory and Practice of Medicine in the University of Pennsylvania, Senior Physician of the Pennsylvania Hospital, one of the authors of the United States Dispensatory, author of a Treatise on the Practice of Medicine, etc. etc. Two vols. 8vo. $7.00.

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Richardson’s Anatomy.

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Ricord on Venereal Diseases.

A Practical Treatise on Venereal Diseases; or, Critical and Experimental Researches on Inoculation applied to the study of these affections: With a therapeutical summary and special formulary. By Ph. Ricord, M.D., Surgeon of the Venereal Hospital of Paris, Clinical Professor of Special Pathology. Translated from the French by A. Sidney Doane, A.M., M.D. Thirteenth edition. One vol. 8vo. $1.50.

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Agnew’s Practical Anatomy.

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Acton on the Urinary Organs.

A Practical Treatise on Diseases of the Urinary and Generative Organs in both Sexes. Part I.--Non-specific Disease. Part II.--Syphilis. By William Acton, late Surgeon to the Islington Dispensary, and formerly Externe at the Female Venereal Hospital, Paris. From the second London edition. With additional Illustrations and Colored Plates. One vol. 8vo. $4.00.

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Transcriber’s Notes:

A number of typographical errors have been corrected silently.

Archaic spellings have been retained.

Cover image is in the public domain.

“Remarks” heading added to Table of Contents.

Index, Index of Cases, and Medical Works added to the Table of Contents.

Amputation of arm index to page 156 is deduced, only “ 56” was printed.

Index references page 649 which does not exist.