Chapter LVII: Amputations (4)

Skin, actinomycosis of, 308
appendages of, 317
carcinoma of, 315
cylindroma of, 315
cysts of, 310
treatment of, 310
epithelioma of, 315
diagnosis of, 315
treatment of, 315
grafting, 187
Thiersch method, 188
hypertrophies of, 311
infection through, 48
infections of, acute, 304
chronic, 306
keratosis of, 314
treatment of, 314
lymphangioma of, 315
treatment of, 315
melanoma of, 316
treatment of, 317
sarcoma of, 316
syphilis of, 130, 308
tertiary, 133
tuberculosis of, 115, 306
tumors of, benign, 311
malignant, 315
vascular growth of, 314
treatment of, 314
xanthoma of, 314

Skull, acute osteomyelitis of, 548
periostitis of, 548
aplasia cranii, 547
atrophy of, 547
senile, 547
bones of, incomplete formation of, 547
congenital conditions of, 547
craniotabes, 547
depression of, 549
diseases of, non-inflammatory, 547
fractures of, 549, 552
of base, 556
diagnosis of, 557
prognosis of, 557
treatment of, 558
of vertex, 552
comminuted, 552
diagnosis of, 554
gunshot, 553
splintered, 552
treatment of, 555
necrosis of, 549
osteoma of, 548
rachitis of, 162
surgical anatomy of, 550
wounds of, incised, 552
penetrating, 552

Sloughing ulcers, 66

Smith, Stephen, method of amputation of knee, 1043

Snake-bites, 171
symptoms of, 171
treatment of, 171

Soft palate, malformations of, 671

Somnoform, 199

Sounds, bulbous, 155

Spasmotoxin, 98

Specific irritants in inflammation, 45

Spermatic cord, encysted hydrocele of, 1019
malignant diseases of, 1019
spermatocele, 1019
syphilis of, 1019
tuberculosis of, 1019
varicocele, 1019
treatment of, 1021

Spermatocele, 1019

Spermatorrhea, 1022

Sphacelus, 73. _See_ Gangrene.

Sphenoidal sinus, operations on, 610

Sphygmomanometer, use of, 177

Spica bandage of groin, 189
of shoulder, 190

Spiders, poisoning by, 172

Spina bifida, 625
occulta, 626
treatment of, 626

Spinal column, diseases and injuries of, 625
sprains of, 628
treatment of, 629
cord, hemorrhages of, 625, 634
injuries of, differential diagnosis of, 635
syphilis of, 138
tumors of, 621
diagnosis of, 622
symptoms of, 621
treatment of, 622
wounds of, gunshot, 230, 624
penetrating, 624
meningocele, 625

Spindle-cell sarcoma, 274

Spine, arthritis deformans of, 388
cancer of, 462
caries of, 444
concussion of, 628
treatment of, 629
curvatures of, forward, 461
rotary, lateral, 459
etiology of, 460
prognosis of, 460
treatment of, 460
cysts of, 627
dislocation of, 631
treatment of, 632
fractures of, 629
diagnosis of, 629
injuries of, 629
differential diagnosis of, 635
kyphosis of, 444
lordosis of, 461
operations on, 636
Pott’s disease of, 444
causes of, 445
complications of, 446
diagnosis of, 448
prognosis of, 448
sequelæ of, 446
symptoms of, 445
treatment of, 448
by apparatus, 448
by forcible contraction, 450
spondylitis of, 444
traumatic, 462
spondylolisthesis, 462
diagnosis of, 463
symptoms of, 462
treatment of, 463
tuberculosis of, 424
typhoid, 462
wounds of, gunshot, 624
penetrating, 624

Spirochæta pallida, 123

Splay-foot, 468

Spleen, abscess of, 941
anomalies of, 940
carcinoma of, 943
cysts of, 943
displacements of, 942
gangrene of, 941
hypertrophies of, 941
injuries of, 941
neoplasms of, 943
operations on, 943
splenectomy, 943
splenopexy, 942
splenotomy, 943
sarcoma of, 943
syphilis of, 138
wounds of, 233

Splenectomy, 943

Splenic anemia, 31
fever, 106. _See_ Anthrax.

Splenitis, suppurative, 941

Splenomedullary leukemia, 32

Splenomegaly, 942

Splenopexy, 942

Splenotomy, 943

Spondylitis, 444
suppurative, of abdominal wall, 783
traumatic, 462

Spondylolisthesis, 462
diagnosis of, 463
symptoms of, 462
treatment of, 463

Sponges, sterilization of, 247

Sprains of joints, 380
symptoms of, 380
treatment of, 380
of muscles, 329
of spinal column, 628
treatment of, 629

Sprengel’s deformity, 458

Staffordshire knot, 241

Staphylococcus pyogenes albus, 52
aureus, 52
epidermidis, 52

Staphyloma, 598

Staphylorrhaphy, 654

Status lymphaticus, 163
diagnosis of, 164
treatment of, 165
thymicus, 163

Steatomas, 310

Stenosis, pyloric, operations for, 808

Stenson’s duct, cysts of, 641

Stercoremia, 83

Sterilization by boiling water, 244
of dressings, 247
by formalin, 244
fractional, 244
of hands, 245
by heat, 243
of instruments, 246
by mustard flour, 245
of sponges, 247
of suture materials, 247

Sternum, dislocations of, 528
fractures of, 491
symptoms of, 492
treatment of, 492
malformations of, 718

Stillicidium, 982

Stokes’ method of amputation of thigh, 1043

Stomach, anastomosis of, 816
cancer of, 801
symptoms of, 802
treatment of, 803
dilatation of, acute, 795
symptoms of, 796
treatment of, 796
chronic, 796
operations for, 811
fistulas of, 801
foreign bodies in, 794
operations for, 806
symptoms of, 794
treatment of, 794
hour-glass, 793
injuries of, 793
leather-bottle, 793
malformations of, acquired, 793
congenital, 793
nerves of, 793
operations on, 805
gastrectomy, 813
gastro-enterostomy, 811, 817
gastrojejunostomy, 816
gastrorrhaphy, 806
gastrostomy, 806
gastrotomy, 806
pylorectomy, 813
pylorus of, stenosis of, 799
symptoms of, 799
treatment of, 799
rupture of, 794
syphilis of, 795
tetany of, 798
tuberculosis of, 795
tumors of, 801
ulcer of, 799
symptoms of, 800
treatment of, 800
wall of, inflammation of, 804
wounds of, 794
penetrating, operations for, 805

Stomatitis, 657
gangrenous, 75, 658
ulcerative, 657

Stovaine, 207

Strains of muscles, 329

Strangulated hernia, diagnosis of, from appendicitis, 858
intestinal obstruction from, 829

Strawberry growths, 367

Streptococcus erysipelatis, 52
pyogenes, 53

Streptothrix maduræ, 100

Stretching of nerves, 612

Stricture of biliary ducts, 921
of esophagus, 742
of intestines, large, 870
obstruction from, 832
symptoms of, 828
treatment of, 828
small, 827
of larynx, 684
symptoms of, 684
treatment of, 684
of rectum, 877
treatment of, 877
of ureter, 973
of urethra, 1011

Struma, 283, 712
fibrosa, 284
parenchymatosa nodosa, 284

Strumitis, 717

Stye, 600

Stypticin, 235

Styptics for control of hemorrhage, 235

Subclavian artery, aneurysm of, 345
ligation of, 354

Subclavicular dislocations, 531

Subcoracoid dislocations, 531

Subcutaneous tubercle, painful, of skin, 313

Subdiaphragmatic abscess, 753
treatment of, 754

Subdural hemorrhages, 564

Subglenoid dislocations, 531

Subhyoid pharyngotomy, 664

Subluxation, 524. _See_ Dislocations.

Submaxillary angina, infectious, 703

Subphrenic abscess, 753
treatment of, 754

Subspinous dislocations, 532

Subungual exostoses, 272

Sunburn, 303

Suppression of urine, 982

Suppuration, 57

Supracondyloid amputations, 1043
fracture of humerus, 497

Supra-orbital nerve operations on, 613

Suprapubic prostatectomy, 998

Suprarenal epithelioma, 292

Surgical diseases, 79
common to man and animals, 97
fever, 85
cause of, 85
diagnosis of, from poisoning by drugs, 85
erysipelas, 93
pyemia, 90
sapremia, 86
chronic, 87
septicemia, 87
cryptogenetic, 87
spontaneous, 87
methods, 177
principles, 177
sequelæ of disease, 166
cholera, 166
dental caries, 169
diphtheria, 168
dysentery, 166
endocarditis, 169
gonorrhea, 169
influenza, 167
measles, 167
mumps, 168
pneumonia, 167
puerperal state, 169
scarlatina, 167
syphilis, 169
typhoid fever, 167
variola, 169

Sutures, 240
Billroth’s chain-stitch, 241
of bloodvessels, 349
end-to-end, 350
lateral, 349
continuous, 241
of heart wounds, 335 (note)
interrupted, 241
of intestines, 840
modified plate, 241
quill, 241
of nerves, 612
removal of, 242
of tendons, 324
transfixion, 241

Swelling, acute, 22
chronic, 22

Sylvester’s method of artificial respiration, 204

Symblepharon, 603

Sympathectomy, 714

Sympathetic ophthalmitis, 595
treatment of, 596

Syncheilia, 639

Syncytioma, 292

Synovial cysts, 262

Synovitis, 382
acute, 383
treatment of, 383
chronic, 386
treatment of, 386
dry, 383
gonorrheal, 385
of jaws, acute, 667
purulent, 383
symptoms of, 383
treatment of, 385
treatment of, 385

Syphilides, 130
pustular, 132
ecthyma, 132
rupia, 132
pustulocrustaceous, 132
squamous, 131

Syphilis, 122
of abdominal wall, 783
of axilla, 751
of bones, 135, 426
of brain, 138
of breast, 759
of bursæ, 136
of cervical lymph nodes, 705
chancre, 126
bubo, 128
diagnosis of, from epithelioma, 127
dry papule, 126
extragenital, 127
Hunterian, 127
lymphatic involvement in, 128
mixed, 127
pathology of, 128
superficial erosion, 127
treatment of, 128
in children, 139
Colles’ law, 139
Profeta’s law, 139
of colon, 869
constitutional, 129, 132
of cornea, 137
of corpora cavernosa, 138
of ear, 137
eruptions of, 130
papular, 131
lenticulo, 131
miliary, 131
pustular, 132
pustulocrustaceous, 132
evolution of, 123
of eye, 136, 597
of face, 640
of genitalia, 138
gumma of, 133
Hutchinson’s teeth in, 140
induration of, 126
initial lesion in, 126
of intestines, 827
of joints, 135
of kidneys, 138, 964
of larynx, 138, 686
treatment of, 686
lesions of, 124
of liver, 138, 914
of lymph nodes, 376
manner of contagion of, 123
of mesentery, 939
of mouth, 657
of mucous membranes, 132
of muscles, 136, 331
of nervous system, 138
of orbit, 597
of oropharynx, 137
primary lesion, location of, 125
of rectum, 138, 876
secondary infection in, 169
lesion, 129
secretions of, 124
of skin, 130, 308
of spermatic cord, 1019
of spinal cord, 138
of spleen, 138
of stomach, 795
teeth in, 140
of tendons, 136
tertiary, 132
of skin, 133
of testicle, 138, 1016
of tongue, 659
of tonsils, 662
treatment of, 140
ulcer of, symptoms of, 125
of uvula, 683
of vascular system, 135
virus of, 123

Syphilitic arthritis, 385
bubo, 128
gumma of lung, 732

Syphilodermas, 130

Syringomyelia, 621

Syringomyelocele, 263, 626

T

TABES mesenterica, 939

Tænia solium, 310

Tagliacozzi’s method of rhinoplasty, 644

Talipes, 465
calcaneus, 471
equinovarus, 466
treatment of, 466
equinus, 470
causes of, 470
treatment of, 471
valgus, 468
etiology of, 468
treatment of, 469

Talma’s operation on omentum, 936

Tapping, paracentesis by, 185

Tarantula, poisoning by, 172

Tarsectomy, 467

Tartar on teeth, 657

Tattoo marks, 318, 720

Taxis, 899

T-bandage, 191

Teale’s method of amputation of foot, 1042

Teeth, caries of, 657, 664
treatment of, 665
cysts of, 666
eruption of, faulty, 665
extraction of, 666
accidents from, 666
instruments required, 666
malformations of, 652
odontoma of, 665
re-implantation of, 667
tartar of, 657
tumors of, 665

Telangiectasis, 277

Temporal artery, ligation of, 352

Temporomaxillary joint, ankylosis of, 667
dislocation of, 667
postgonorrheal arthritis of, 667
resection of, 668
synovitis of, acute, 667

Temporosphenoidal abscess, 569

Tendon sheaths, tuberculosis of, 118

Tendons, dislocation of, 330
grafting of, 324
injuries of, 218
ligation of, 326
surgical diseases of, 321
suture of, 324
syphilis of, 136
transplantation of, 324

Tendoplasty, 322

Tendosynovitis, 321
chronic, 322
treatment of, 322
suppurative, 321
treatment of, 321

Tendovaginitis, gonococcus of, 331

Tenorrhaphy, 324

Tenotomy, 327

Teratomas, 268
embryonal adenosarcoma, 268
of thyroid, 712

Tertiary syphilis, 132

Testicle, absence of, 1015
atrophy of, 1015
cancer of, 1017
chondroma of, 1017
congenital abnormalities of, 1014
contusions of, 1015
cystic degeneration of, 260
cysts of, 1016
epididymitis, 1016
treatment of, 1017
fibroma of, 1017
gonorrhea of, 151
hematoma of, 1015
hydrocele of, encysted, 260
injuries to, 1015
lipoma of, 1017
orchitis, 1017
treatment of, 1017
retained, 1014
treatment of, 1014
syphilis of, 138, 1016
tuberculosis of, 118, 1015
treatment of, 1016
tumors of, 1017

Tetanin, 98

Tetanotoxin, 98

Tetanus, 97
cephalicus, 99
chronic, 100
death in, 100
diagnosis of, 101
from hysteria, 101
etiology of, 97
hydrophobicus, 99
of newborn, 97, 99
parasitic nature of, 98
postmortem appearances in, 100
prognosis of, 100
toy-pistol, 97
treatment of, 101

Tetany, bacillus of, 54
gastric, 798

Thecitis, 328

Thiersch method of skin grafting, 188

Thigh, amputation of, 1043
above knee, 1044
fracture of, 509
diagnosis of, 511
prognosis of, 511
treatment of, 512

Thoracentesis, 736, 746

Thoracic duct, injuries to, 725
treatment of, 726
viscera, injuries to, 724
walls, diseases of, 726

Thoracoplastic operations, 748

Thoracotomy, 747
drainage in, 747
irrigation in, 747

Thorax, actinomycosis of, 729
carcinoma of, 730
chondroma of, 730
fibroma of, 729
granuloma of, 729
injuries to, 721
lipoma of, 729
malformations of, 718, 719
operations on, 746
osteoma of, 730
sarcoma of, 730
tumors of, 729
treatment of, 730
wounds of, gunshot, 230

Thrombo-arteritis, 91

Thrombophlebitis, 37, 90

Thrombosis, 34
annular, 35
causes of, 35
following abdominal operations, 784
gangrene from, 73
infective, 36, 570
marasmic, 36, 570
mechanical, 36
of mesenteric vessels, 938
obstructive, 36
parietal, 35
primary, 35
propagated, 36
sinus, 570
diagnosis of, 571
prognosis of, 571
symptoms of, 570
treatment of, 573
traumatic, 36
valvular, 35

Thrombus, calcification of, 36
decolorization of, 36
organization of, 36
softening of, 37

Thrush, oïdium albicans of, 657

Thumb, amputation of, 1029

Thymic asthma, 163

Thymus, hypertrophy of, 717, 751
inflammation of, 717

Thyroglossal duct, 710

Thyrohyoid cysts of neck, 707

Thyroid arteries, inferior, ligation of, 353
body, adenoma of, 712
bronchocele, 712
congenital affections of, 710
endothelioma of, 712
goitre of, 712
hypertrophy of, acute idiopathic, 711
intra-uterine, 711
sarcoma of, 712
struma of, 712
teratomas of, 712
tumors of, 711
dermoids, 267

Thyroidectomy, 715

Thyroidism, 82

Thyroiditis, 711

Thyroids, accessory, 710

Thyrotomy, 674, 688

Tibia, dislocations of, 543
fractures of, 518
treatment of, 521

Tibial arteries, ligation of, 360
nerve, operations on, 623

Tibiotarsal amputations, 1037

Tic douloureux, 640

Toe-nail, ingrowing, 318

Toes, amputation of, 1034
hammer, 321
treatment of, 321

Tongue, absence of, 652
actinomycosis of, 659
bifid, 652
cysts of, retention, 659
epithelioma of, 660
treatment of, 660
gangrene of, 659
inflammation of, 658
leukoplakia of, 659
treatment of, 659
macroglossia of, 660
malformations of, 652
nevi of, 659
operations on, 661
Kocher’s, 661
Langenbeck’s, 662
Regnoli-Billroth’s, 661
Sédillot’s, 662
Whitehead’s, 661
papilloma of, 659
ranula of, 660
syphilis of, 659
-tie, 652
tuberculosis of, 659
tumors of, 659

Tonometer, use of, 177

Tonsillotomy, 663

Tonsils, absence of, 662
calculi of, 663
enlarged, 662
foreign bodies in, 663
hypertrophy, 662
infection through, 49
syphilis of, 662
tuberculosis of, 662
tumors of, 664

Torsion, control of hemorrhage by, 236
of omentum, 935

Torticollis, 457
diagnosis of, 458
pathology of, 457
treatment of, 458

Tourniquet for control of hemorrhage, 234

Toxic antiseptics, 175

Toy-pistol tetanus, 97

Trachea, operations on, 691
rupture of, 699
scabbard, 713
tumors of, 687
wounds of, 699

Tracheal tugging, 345

Tracheocele, 707

Tracheotomy, 691

Trachoma, 599

Transfixion suture, 241

Transfusion of blood, 185

Transhyoid pharyngotomy, 664

Transplantation of bone, 431
of tendons, 324

Transudates, 23

Trauma as cause of tumor, 255

Traumapnea, 724

Traumatic abscess of brain, 567
erysipelas, 93, 94
fever, 85. _See_ Surgical fever.
hematoma of scalp, 218
hernia, 890
insanity, surgical treatment of, 582
intraventricular hemorrhage, 564
mania, 175
neuroma, 280
othematoma, 605
peritonitis, 786
spondylitis, 462
thrombosis, 36

Treatment of abscess, 60
of bone, 426
of brain, 573
of liver, 912
of rectum, 879
of actinomycosis, 110
of acute catarrh of biliary passages, 918
cholecystitis, 921
pancreatitis, 948
after abdominal operations, 777
of adenoids of pharynx, 680
of aneurysm of abdominal aorta, 346
of angioma of veins, 367
of ankylosis, 405
of anthrax, 107
of arthritis, chronic, 386
deformans, 389
tuberculous, 398
of atrophy of muscles, 332
of biliary calculi, 926
of boils, 304
of bow-leg, 465
of bunions, 311
of burns, 301
_x_-ray, 304
of carbuncle, 305
of carcinoma, 295
of breast, 763
of intestines, 828
of rectum, 887
of stomach, 803
of cardiospasm, 798
of caries of hip, 454
of cerebral palsies, 478
of cervical lymph-node affections, 706
of chancre, 128
of chancroid, 145
of cholelithiasis, 926
of chondroma, 272
of chronic affections of pancreas, 951
pancreatitis, 950
prostatitis, 995
sapremia, 87
tendosynovitis, 322
of cold abscess, 114
peri-articular, 399
of compression of brain, 562
of concussion of brain, 559
of chest, 722
of spine, 629
of congenital anomalies of neck, 698
club-foot, 466
dislocation of hip, 474
of congestion, 23
of contraction of fasciæ, 320
of muscles, 332
of contusions, 212
of brain, 560
of chest, 722
of cryptorchidism, 1014
of curvature of spine, 460
of cutaneous horns, 311
of cystitis, 985
of cysts of pancreas, 952
of skin, 310
of dacryocystitis, 600
of delirium tremens, 174
of dental caries, 665
of dermatitis calorica, 299
of desmoids, 271
of dilatation of stomach, 796
of dislocations, 527
of clavicle, 529
of elbow, 536
of foot, 544
of hip, 539
of jaw, 528
of knee, 544
metacarpophalangeal, 537
of patella, 543
of shoulder, 532
of spine, 632
of duodenal ulcers, 826
of Dupuytren’s contraction, 320
of ectopia of bladder, 978
of epididymitis, 1017
of epistaxis, 681
of epithelioma of skin, 315
of tongue, 660
of erysipelas, 95
of exophthalmic goitre, 714
of exophthalmos, 594
of exstrophy of bladder, 978
of fat embolism, 40
of fibroma molluscum, 313
of fistula, 63
of rectum, 880
of floating liver, 911
of foreign bodies in esophagus, 740
in pharynx, 673
in stomach, 794
of fractures, 486
of clavicle, 493
Colles’, 504
of femur, 513
of fibula, 521
of forearm, 501
of humerus, 495
of inferior maxilla, 490
of leg, 521
of patella, 517
of pelvis, 508
of radius, 504
of ribs, 492
of skull, base, 558
vertex, 555
of sternum, 492
of thigh, 512
of tibia, 521
of ulna, 501
of frostbite, 302
of furuncle, 304
of gallstones, 926
of gangrene, 77
of gastric ulcer, 800
of gastroptosis, 797
of glanders, 106
of glaucoma, 597
of gonorrhea, 152
complications, 152
of testicles, 151
in women, 159
of hammer-toe, 321
of hematomyelia, 634
of hematorrhachis, 634
of hematuria, 959
of hemorrhage, 234
secondary, 237
of hemorrhoids, 883
of hernia, 898
of brain, 566
femoral, 908
inguinal, 908
postoperative, 909
umbilical, 909
ventral, 909
of Hodgkin’s disease, 378
of hydatid cysts of liver, 913
disease, 432
of hydrocele, 1018
of hydrocephalus, 579
of hydronephrosis, 973
of hydrophobia, 104
of hypertrophy of prostate, 998
of hysterical joints, 392
of injuries of eyeball, 604
of orbit, 593
to thoracic duct, 726
to upper nerve trunks, 726
of intestinal obstruction, acute, 836
chronic, 839
of intraspinal hemorrhage, 634
of intussusception, 832
of invagination of rectum, 882
of keloid, 271, 313
of keratosis of skin, 314
of knock-knee, 464
of laceration of lung, 722
of leptomeningitis, 573
of leukoplakia, 659
of lock finger, 320
of lymphangioma, 279
circumscriptum, 374
of skin, 315
of lymphangitis, 375
of Madura foot, 110
of malformation of esophagus, 738
of respiratory passages, 671
of malignant edema, 108
of mastitis, 758
of mastodynia, 758
of mediastinitis, 728
of melanoma of skin, 317
of meningitis, 572
of metatarsalgia, 470
of Morton’s disease, 471
of movable and floating kidney, 967
bodies in joints, 402
of myalgia, 331
of necrosis of bone, 428
of neoplasm of nasal cavities, 678
of neuralgia of breast, 758
of neuropathic disease of joints, 392
of orchitis, 1017
of osteo-arthritis, 389
of osteomalacia, 435
of osteomyelitis, 419
of panophthalmitis, 595
of papilloma, 283
of paralytic affections of muscles, 332
of perforations of biliary passages, 922
of perineal abscess, 1013
fistulas, 1013
of perinephritis, 961
of periostitis, 421
of perirectal abscess, 879
of peritonitis, 787
of phlegmonous affections of rectum, 879
of phlegmons of neck, 703
of piles, 883
of pneumatocele of scalp, 546
of Pott’s disease, 448
of procidentia, 882
of proctitis, 875
of prolapse of brain, 566
of rectum, 882
of pruritus ani, 879
of pyelitis, 957
of pyelonephritis, 957
of pyemia, 92
of pyonephrosis, 961
of renal calculus, 966
colic, 964
of retained testicle, 1014
of rhinophyma, 314
of rickets, 162
of rupture of diaphragm, 722
of muscles, 330
of sacro-iliac disease, 452
of sapremia, 87
of sarcoma of bone, 441
of scalds, 301
of scleroderma, 313
of scoliosis, 460
of scurvy, 160
of septic nephritis, 957
of septicemia, 89
of sequestrum formation, 429
of shock, 179
of sinus, 63
thrombosis, 573
of snake-bites, 171
of spina bifida, 626
of spondylolisthesis, 463
of sprains, 380
of spinal column, 629
of status lymphaticus, 165
of stenosis of pylorus, 799
of strictures of intestines, 828
of larynx, 684
of rectum, 877
of subphrenic abscess, 754
of suppurative tendosynovitis, 321
of surgical kidney, 957
of sympathetic ophthalmitis, 596
of synovitis, 385
acute, 383
chronic, 386
purulent, 385
of syphilis, 140
of talipes equinovarus, 466
equinus, 471
valgus, 469
of tetanus, 101
of torticollis, 458
of traumatic insanity, 582
of trigger finger, 320
of tuberculosis, 120
of bone, 425
of breast, 759
of joints, 398
of knee, 456
of kidneys, 963
of larynx, 685
of mesentery, 939
of peritoneum, 791
of skin, 307
of testicle, 1016
of tuberculous hydrops, 399
ulcers of intestines, 827
of tumors, 258
of bladder, 992
of brain, 585
of breast, 760
of larynx, 687
of spinal cord, 622
of thorax, 730
of typhoid ulcers of intestines, 826
of ulcerations of biliary passages, 922
of varices, 365
of varicocele, 1021
of varicose veins, 365
of vascular growths of skin, 314
of vesical calculus, 987
of warts, 312
venereal, 312
of wounds, 238
of chest, 723
contused, 212
of diaphragm, 726
gunshot, 225
of head, 565
of heart, 335
of intestines, 824
of larynx, 676
of lung, 726
open, 239
of pleura, 726
punctured, 214
of wryneck, 458
of xanthoma of skin, 314

Trephining of cranium, 587

Trichiasis, 601

Trigger finger, 320
treatment of, 320

Trismus, 97. _See_ Tetanus.

Tropacocaine, 207

Trophoneuroses, 310

Trophoneurotic atrophy, 27
diseases of bone, 432

Tuberculides, 307

Tuberculin in tuberculosis, 121
dose of, 121
manner of preparation, 121

Tuberculosis, 111
of abdominal wall, 783
of axilla, 751
bacillus of, 54
of bladder, 118
of bone, 116, 422
acute miliary, 423
chronic tuberculous osteomyelitis, 423
pathology of, 423
symptoms of, 423
treatment of, 425
of breast, 759
treatment of, 759
of bursæ, 118
of choroid, 595
cold abscess in, 112
diagnosis of, 113
lumbar, 114
psoas, 114
retropharyngeal, 114
treatment of, 114
colon, 869
degenerative changes in, 111
diagnosis of, 120
from epithelioma, 293
of face, 640
fungous granulation in, 115
giant cells in, 111
gummas in, 114
of joints, 393
diagnosis of, 398
pathology of, 394
symptoms of, 397
treatment of, 398
of kidney, 118, 961
diagnosis of, 962
symptoms of, 961
treatment of, 963
of knee-joint, 456
treatment of, 456
of larynx, 684
treatment of, 685
lupus, 115
of lymph nodes, 376
cervical, 705
of lymphatic structures, 116
of mesentery, 939
treatment of, 939
method of healing, 112
absorption, 112
calcification, 112
caseation, 112
encapsulation, 112
suppuration, 112
miliary tubercles in, 111
of mouth, 657
of mucous membrane, 115
of muscles, 331
of ovary, 118
paths of infection, 119
of peritoneum, 116, 118
of rectum, 876
of seminal vesicles, 1021
of skin, 115, 306
folliculitis, 307
lupus vulgaris, 306
painful subcutaneous, 313
scrofuloderm, 306
treatment of, 307
verruca necrogenica, 306
verrucose, 306
of spermatic cord, 1019
of stomach, 795
of tendon sheaths, 118
of testicle, 118, 1015
treatment of, 1016
of tongue, 659
of tonsils, 662
treatment of, 120
constitutional, 120
tuberculin in, 121
local, 120
amputation in, 121
Bier’s permanent hyperemia, 120
excision in, 121
ignipuncture in, 121
iodoform injections in, 120

Tuberculous cystitis, 985
hydrops, treatment of, 399
panarthritis, 395
peritonitis, 786, 790
ascitic, 791
fibrinoplastic, 791
treatment of, 791
ulcerative, 791
ulcers of intestines, 827
symptoms of, 827
treatment of, 827

Tubulo cysts, 260
allantoic, 260
of vitello-intestinal duct, 260
of Wolffian body, 260
dermoids, 266

Tumid ulcer, 67

Tumors, 255
of abdominal wall, 783
vascular, 784
albus, 393, 456
of bladder, 992
symptoms of, 992
treatment of, 992
of bone, 438
cartilaginous, 440
of brain, 582
symptoms of, 583
treatment of, 585
of breast, 760
treatment of, 760
of cheek, 641
classification of, 259
connective tissue, 269
cysts, 259
dermoids, 264
epithelium, 281
of nerve elements, 279
teratomas, 268
clinical observations of, 257
coccygeal, 627
congenital, 635
comparative pathology of, 256
connective tissue, 269
angioma, 277
chondroma, 271
exostoses, 272
fibroma, 269
lipoma, 269
lymphangioma, 278
myoma, 277
myxoma, 276
osteoma, 272
sarcoma, 272
cysts, 259
glandular, 261
hydrocele, 261
pseudo-, 262
retention, 259
tubulo, 260
derived from epithelium, 281
adenoma, 284
carcinoma, 289
epithelioma, 286
malignant chorion, 292
suprarenal, 292
fibro-adenoma, 284
fibro-epithelioma, 282
goitre, 283
hydronephroma, 292
mucous polyp, 283
odontoma, 281
ovarian cystoma, 284
papilloma, 282
struma, 283
dermoids, 264
ovarian, 267
sequestration, 265
tubulo, 266
of diaphragm, 753
of ear, 605
embryonal hypothesis of Cohnheim, 256
of face, 641
of gall-bladder, 927
gangrene from, 74
of heart, 336
heredity of, 256
inflammation as cause of, 256
inoculation experiments on, 257
of intestines, 828
intralaryngeal, 686
intra-ocular, 594
intratracheal, 686
irritation as cause of, 255
of jaw, 668
of kidney, 969
of larynx, 686
of liver, 914
local infectivity of, 257
of lung, 732
of lymphatics, 378
metastasis of, 257
microscopic appearances of, 257
of neck, 706
of nerve elements, 279
glioma, 279
neuroma, 280
of nerves, 622
nomenclature of, 258
of omentum, 935
of optic nerve, 593
of orbit, 593
cystic, 593
vascular, 593
of pancreas, 953
parasitic theory of, 256
of rectum, 885
of salivary glands, 650
of scalp, 546
acquired, 546
congenital, 546
gaseous, 545
of skin, benign, 311
malignant, 315
of spinal cord, 621
diagnosis of, 622
symptoms of, 621
treatment of, 622
of stomach, 801
of teeth, 665
teratomas, 268
of testicle, 1017
of thorax, 729
treatment of, 730
of thyroid, 711
of tongue, 659
of tonsils, 664
of trachea, 687
trauma as cause of, 255
treatment of, 258
of operable, 259

Typhoid fever, secondary infection in, 167
spine, 462
ulcer of intestines, 826
symptoms of, 826
treatment of, 826
of rectum, 876

U

ULCER, 65
atheromatous, 339
of auricle, rodent, 606
of biliary passages, 921
symptoms of, 922
treatment of, 922
callous, 67
causes of, 65
constitutional, 66
local, 65
traumatic, 65
duodenal, 825
symptoms of, 825
treatment of, 826
edematous, 67
erethistic, 66
of face, 640
fissured, 66
fistulous, 66
of foot, perforating, 310
fungous, 66
gastric, 799
diagnosis of, from appendicitis, 857
operations for, 811
symptoms of, 800
treatment of, 800
healthy, 66, 67
hemorrhagic, 66
indolent, 66
indurated, 67
inflamed, 67
of intestines, 825
cancerous, 827
diagnosis of, from appendicitis, 857
duodenal, 825
treatment of, 826
dysenteric, 827
tuberculous, 827
treatment of, 827
typhoidal, 826
symptoms of, 826
treatment of, 826
irregular, 66
irritable, 66
livid, 67
peptic, of jejunum, 816
phagedenic, 66
process of repair in, 67
of rectum, 876
catarrhal, 876
chancroidal, 876
symptoms of, 877
syphilitic, 876
treatment of, 877
tuberculous, 876
typhoid, 876
regular, 66
rodent, 66, 67, 288
sloughing, 66
treatment of, 70
tumid, 67
undermined, 67
of urethra, 1011
venereal, 144. _See_ Chancroid.

Ulceration, 65. _See_ Ulcers.

Ulcerative endocarditis in septicemia, 88
gingivitis, 664
stomatitis, 657
tuberculous peritonitis, 791

Ulna, dislocations of, 536
fractures of, 501
treatment of, 501

Ulnar artery, ligation of, 356
nerve, operations on, 623

Umbilical hernia, 896
treatment of, 909
vein, phlebitis of, 362

Upper extremity, amputations of, 1029
entire, 1033

Uranoplasty, 654

Urea in auto-intoxication, 80

Ureteral catheterization, 958

Ureters, anomalies of, 955
calculus of, 973
operations on, 976
stricture of, 973

Urethra, congenital defects of, 1004
epispadias, 1005
foreign bodies in, 1009
hypospadias, 1005
injuries of, 1008
lacerations of, 1008
strictures of, 1011
ulcers of, 1011

Urethritis, 147
gonorrheal, in women, 159

Urethrometer, 155
Otis’, 1012

Urethrotome, Otis’ dilating, 157, 1012

Urine, electroconductivity of, 959
incontinence of, 982
retention of, 982
suppression of, 982

Uveitis, 596, 598

Uvula, elongation of, 682
syphilis of, 683

V

VALVULAR thrombosis, 35

Vanghetti’s cinematic method of amputation, 1048

Varices, 364
congenital, 364
symptoms of, 365
treatment of, 365

Varicocele, 364, 1019
treatment of, 1021

Varicose aneurysm, 339, 342
veins, 363
extirpation of, 366
symptoms of, 365
treatment of, 365

Variola, secondary infection in, 169

Varix, anastomotic, 364
aneurysmal, 363
compound, 367

Vascular growth of skin, 314
treatment of, 314
system, surgical diseases of, 334
syphilis of, 135

Veins, air embolism of, 363
angioma of, 366
treatment of, 367
atrophy of, 361
calcification of, 361
fatty degenerations of, 361
hemorrhoidal, phlebitis of, 362
hypertrophy of, 361
inflammation of, 361
injuries of, 217, 363
treatment of, 364
mesenteric, phlebitis of, 362
rupture of, 363
umbilical, phlebitis of, 362
varicose, 363

Velpeau’s bandage, 189

Venereal ulcer, 144. _See_ Chancroid.
warts, treatment of, 312

Venesection, 182

Venous nevus, 367
congenital, 367

Ventral hernia, 896
treatment of, 909

Vermiform appendix, actinomycosis of, 852
anatomy of, 851
cysts of, 852
diseases of, 851
empyema of, 860
foreign bodies in, 852
inflammation of, 851
tuberculosis of, 852
tumors of, 852

Verruca necrogenica, 306

Verrucæ, 311

Vertebral artery, ligation of, 353

Vesical calculus, 986
symptoms of, 986
treatment of, 987
diverticula, 262

Vesicants, counterirritation by, 184

Vesicovaginal fistula, 839

Villous papillomas, 282
intracystic, 282

Vincent’s angina, 703

Viscera, wounds of, 219

Vitello-intestinal duct, cysts of, 260

Volvulus, 832, 870

von Langenbeck’s incision in excision of elbow, 410
of wrist, 411

von Mosetig-Moorhof’s incision in excision of elbow, 410

Vulva, elephantiasis of, 371
gonorrhea of, 158

W

WAGNER’s osteoplastic resection of cranium, 590

Wandering erysipelas, 94
liver, 910
symptoms of, 910
treatment of, 911

Wardrop’s method of treating aneurysms, 347

Warts, 282, 311
filiform, 311
seborrheic, 312
treatment of, 312
venereal, treatment of, 312

Warty horns, 283

Wasps, poisoning by, 172

Weir’s operation for saddle-nose, 644

Wens, 285

White swelling, 393

Whitehead’s operation for hemorrhoids, 884
on tongue, 661

Whitlow, 328

Witzel’s method of gastrostomy, 807

Wolffian body, cysts of, 260

Woodbury’s method of amputation of hip-joint, 1045

Woolsorters’ disease, 106. _See_ Anthrax.

Wounds of abdominal wall, gunshot, 783
penetrating, 781
of bladder, 981
of chest, 722
treatment of, 723
contused, 211
of bloodvessels, 216
of tendons, 218
treatment of, 212
of viscera, 219
of diaphragm, 725, 753
treatment of, 726
of esophagus, 741
of face, 639
fever, aseptic, 85. _See_ Surgical fever.
gunshot, 220
of abdomen, 232
of bladder, 233
diagnosis of, 225
of face, 229, 639
foreign material in, 224
of head, 228, 565
of heart, 231
hemorrhage from, 223
of intestines, 823
of joints, 228, 381
key-hole, 225
of kidney, 233
localizing symptoms of, 233
multiple, 224
of neck, 229
pain from, 223
prognosis of, 225
of respiratory passages, 675
shock from, 223
of small intestines, 823
of spinal cord, 624
of spine, 230, 624
of spleen, 233
of thorax, 230
treatment of, 225
of heart, 334, 733
suture of, 335 (note)
treatment of, 335
incised, 214
of bloodvessels, 216
of skull, 552
of intestines, 823
lacerated, 212
of bloodvessels, 216
of muscles, 218
of larynx, 675
treatment of, 675
of liver, 911
of lung, 724
treatment of, 726
of mouth, 658
of muscles, 330
of neck, 698
of nerves, 612
open, treatment of, 239
of pancreas, 945
penetrating, of joints, 381
of chest, 722
of orbit, 592
of skull, 552
of spinal cord, 624
of spine, 624
of stomach, 805
of pleura, 724
treatment of, 726
punctured, 213

Wounds, punctured, of abdomen, 214
treatment of, 213
repair of, 215
of respiratory passages, 675
of stomach, 794
of trachea, 699
treatment of, 238
drainage in, 239

Wrist, amputation of, 1031
dislocations of, 536
excision of, 411
fractures of, 507

Wryneck, 457
diagnosis of, 458
pathology of, 457
treatment of, 458

Wyeth’s exsector in excision of joints, 409
method of amputation of hip-joint, 1045

X

XANTHELASMA, 601

Xanthoma of skin, 314
planum, 314
treatment of, 314
tuberosum, 314

X-ray burns, 303
treatment of, 304
in treatment of cancer, 207

Y

YAWS, 308

Yeasts, 55

Z

ZYGOMA, fractures of, 489

Transcriber’s Notes

Inconsistent and archaic spelling, hyphenation and capitalisation
have been retained, also in anatomical and medical terminology and in
proper names, except as mentioned under Changes made below.

Depending on the hard- and software used to read this text, not all
elements may display as intended.

Page 195, ... that 5 per cent. is more than adequate ...: appears
to be contradicted by the remainder of the sentence; possibly 5 per
cent. is an error for .5 per cent.

Page 275, Fig. 80: There is no line in the source document to
indicate item a.

Page 411, ... two lateral incisions, with through drainage ...:
possibly an error for ... thorough drainage.

Page 425, ... absorbents are eared or closed ...: as printed in the
source document; possibly erroneously.

Page 534, ... the section on fractures of the elbow-joint ...: there
is no such section in the book; these fractures are discussed under
fractures of the arm and the forearm.

Page 1037, Fig. 696: reference numbers 1 and 2 are not present in the
illustration.

Changes made

Some obvious minor typographical, lay-out and punctuation errors and
inconsistencies have been corrected silently.

Footnotes, tables and illustrations have been moved out of text
paragraphs; some of the wider tables have been split or otherwise
re-arranged to fit the available width.

Plate I: the heading PLATE I has been inserted as in other plates.

Page 25: ... their lumen marrowed ... changed to ... their lumen
narrowed ....

Page 229: (See Chapter XXXV.) changed to (See Chapter XXXVI.)

Page 234: (See Chapter LVI.) changed to (See Chapter LVII.)

Page 266, 267: Numbers 2 and 3 inserted before subsection headings
Tubulodermoids and Ovarian Dermoids and Teratomas.

Page 278: (See Aneurysm, Chapter XXVIII.) changed to (See Aneurysm,