A Manual of the Operations of Surgery by Joseph Bell (best e reader for epub txt) đź“•
Operation.--The ligature may be applied in one of two ways, the choice being influenced by the nature of the disease for which it is done.
1. A straight incision (Plate I. fig. 1) in the linea alba, just avoiding the umbilicus by a curve, and dividing the peritoneum, allows the intestines to be pushed aside, and the aorta exposed still covered by the peritoneum, as it lies in front of the lumbar vertebræ. The peritoneum must again be divided very cautiously at the point selected, and the aortic plexus of nerves carefully dissected off, in order that they may not be interfered with by the ligature. The ligature should then be passed round, tied, cut short, and the wound accurately sewed up.
2. Without wounding the peritoneum.
A curved incision (Plate I. fig. 2), with its convexity backwards, from the projecting end o
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Title: A Manual of the Operations of Surgery
For the Use of Senior Students, House Surgeons, and Junior Practitioners
Author: Joseph Bell
Release Date: February 11, 2008 [eBook #24564]
Language: English
Character set encoding: ISO-8859-1
***START OF THE PROJECT GUTENBERG EBOOK A MANUAL OF THE OPERATIONS OF SURGERY***
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A MANUAL OF THE OPERATIONS OF SURGERY FOR THE USE OF SENIOR STUDENTS, HOUSE SURGEONS, AND
JUNIOR PRACTITIONERS. ILLUSTRATED. BY JOSEPH BELL, F.R.C.S. Edin. LECTURER ON CLINICAL SURGERY, SURGEON TO THE ROYAL INFIRMARY AND TO
THE EYE INFIRMARY, AND LATE DEMONSTRATOR OF ANATOMY
IN THE UNIVERSITY OF EDINBURGH. FIFTH EDITION, REVISED AND ENLARGED. EDINBURGH: MACLACHLAN & STEWART, BOOKSELLERS TO THE UNIVERSITY. LONDON: SIMPKIN, MARSHALL, & CO. 1883.
TO THE MEMORY OF
JAMES SYME, ESQ., F.R.C.S. AND F.R.S.E.SURGEON TO THE QUEEN IN SCOTLAND
PROFESSOR OF CLINICAL SURGERY
IN THE UNIVERSITY OF EDINBURGH
ETC. ETC.
THIS BOOK IS DEDICATED
BY HIS OLD HOUSE-SURGEON AND ASSISTANT
THE AUTHOR.
PREFACE TO FIFTH EDITION.To retain the small size of the work and to keep it up to date have been the Author's aim in the Fifth Edition.
August 1883.
PREFACE TO THE FIRST EDITION.Having been asked, year after year, by the members of my Class for Operative Surgery, to recommend to them some Manual of Surgical Operations which might at once guide them in their choice of operations, and give minute details as to the mode of performance, I have been gradually led to undertake the production of this little work.
My aim has been to describe as simply as possible those operations which are most likely to prove useful, and especially those which, from their nature, admit of being practised on the dead body.
In accordance with this plan, neither historical completeness of detail, nor much variety in the methods of performing any given operation, is to be expected. Hence, also, many omissions which would be unpardonable in the briefest system of Surgery are unavoidable. For example, excision of tumours and operations for necrosis are hardly mentioned, because for these no special instructions can well be given; for, while general principles may guide us to what should be done, the special circumstances of each case must dictate how it is to be done.
In such a work as this, to attempt originality would be undesirable and intrusive; a judicious selection, a faithful compilation, are all that can be expected.
That the selection of operations may sometimes show "Northern Proclivities" is possible; and this is perhaps not unnatural to a scholar and teacher in the Edinburgh School.
An earnest endeavour has been used to make the references correct and copious: for any mistakes or omissions the author would crave indulgence.
The four plates which precede the letterpress were drawn on wood (from original photographs) by Mr. D.W. Williamson, Melbourne Place, and the lines of incision for the various operations were added by the author.
The rough woodcuts scattered through the work were drawn on wood by the author, and for their roughness he, not his engraver, is responsible. He also hopes that the references in the letterpress will be accepted as sufficient acknowledgment of the true ownership, in those few instances in which the idea of the diagram has been borrowed.
It has been thought unnecessary to introduce woodcuts of surgical instruments, as the illustrated catalogues lately published by Weiss, Maw, and others, are sufficiently accurate.
In excuse of the frequent baldness and brevity of the style, the author must point to the size and price of the work. Its composition would have been easier had its dimensions been greater.
Though intended chiefly to guide the studies, on the dead subject, of students and junior practitioners, the author ventures to hope that the Manual may be useful to those who, in the public services, in the colonies, or in lonely country districts, find themselves constrained to attempt the performance of operations which, in the towns, usually fall to the lot of a few Hospital Surgeons.
JOSEPH BELL.
July 1866.
CONTENTS.page
50Amputations of Fingers, 50Diagram of Finger showing Articulations, 57Dubrueil's Amputation at Wrist (front view), 57 " " (dorsal view), 69Amputations of Toes, 126Excision of Wrist-joint—Lister's, 151Operations for Ectropium and Entropium, 151Operation for Trichiasis—Streatfeild's, 155Operation for Epiphora—Bowman's, 156Greenslade's Instrument for above, 157Operations for Squint, 162Linear Extraction of Cataract, 162Flap Extraction of Cataract, 171Operation of Corelysis—Streatfeild's, 172Operation for Staphyloma—Critchett's, 172Result of above, 176Rhinoplastic Operation from Cheek, 177 " " Forehead, 181Operation on Lip, V-shaped incision, 181Operation on Lip, by scissors, 182Operation for a new Lip, incisions, 182Operation for New Lip sewed up, 184Diagram of Partial Fissure (Harelip), 184Nelaton's Operation for ditto, 185Operation for Double Harelip, 186Diagram of Double Harelip, 189Excision of Upper and Lower Jaws, 196Operation for Salivary Fistula, 201Operation for Fissure in Soft Palate, 203Operation for Fissure in Hard Palate, 207Diagram illustrating Operations on Air Passages, 241Diagram illustrating Operations for Hernia, 253Diagram of an Artificial Anus, 257Diagram of Section of Prostate, 259Diagram of Membranous portion of Urethra, 284Diagram illustrating Puncture of Bladder, 286Diagram of Operation for Phymosis, 287Diagram of Amputation of Penis,A. Excision of Head of Humerus. B. Excision of Knee-joint; semilunar incision.
A. Excision of Hip-joint. B-B. Excision of Ankle-joint—Hancock's incisions.
A. Excision of Shoulder-joint—deltoid flap. B. Excision of Shoulder-joint by posterior incision. C. Excision of Elbow-joint—H-shaped incision. D. Excision of Elbow-joint—linear incision. E. Excision of Hip-joint—Gross's. F. Excision of Os Calcis. G. Excision of Scapula.
A. Excision of Wrist—radial incision. B. Excision of Wrist—ulnar incision. CHAPTER I. LIGATURE OF ARTERIES.
Ligature of Arteries.—In a work of this nature there is no room for any discussion of the principles which should guide us in the selection of cases, or of the pathology of aneurism, or the local effects of the ligature on the vessels. One or two fundamental axioms may
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