A Manual of the Operations of Surgery by Joseph Bell (best e reader for epub txt) π
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ntly proved that the circulation can be carried on, and gangrene does not necessarily result even after such a decided interference with vascular supply.
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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Johnston, Dr., on amputation at ankle-joint, 84.
Joints, excision of, 108.
Jones on excision of joints, 110, 134, 136.
Jordan, Mr. F., on amputation, 106;
on excision of tongue, 199.
Keith, Dr. Thomas, on ovariotomy, 224-227.
Kirby, Mr., on ligature of iliac, 12.
Knife, Beer's description of, 164.
Knee, amputation below and above, 90, 91.
amputation at, 91.
joint, excision of, 132.
Lachrymal organs, operations on the, 153.
Lane, Mr., on amputation at knee-joint, 91.
Langenbeck on excision of joints, 110, 140.
on fissure in hard palate, 203.
on radical cure of hernia, 245.
Larrey on amputation at shoulder, 64.
on excision of joints, 109.
Larynx, operations on the, 206.
Laryngectomy, 216.
Dr. Solis Cohen on, 302.
Laryngotomy, 214.
Laryngo-tracheotomy, 215.
Layraud, Dr., case of hæmorrhage from iliac, 12.
Lee, Mr. Henry, amputation of leg, 88.
Ligature of the aorta, 2.
of the axillary, 38, 39, 40.
of the brachial, 42.
of the carotid, common, 29, 30.
of the carotid, external, 32.
of the femoral, 18, 21.
of the gluteal, 12.
of the iliac, 3.
of the iliac, external, 7.
of the iliac, internal, 6.
of the innominate, 26.
of the lingual, 32.
of the popliteal, 22.
of the subclavian, 33-37.
of the vessels in fore-arm, 45.
Lips, operations on the, 180.
Lisfranc on amputation, 52, 74.
Lister, Professor, on Syme's amputation, 87.
on excision of wrist, 125.
Liston, Mr., on ligature of subclavian, 36, 37.
on rhinoplastic operations, 177.
on excision of upper jaw, 186.
tracheotomy, 213.
on femoral hernia, 240.
on lithotomy, 262.
Litholapaxy, Dr. Bigelow on, 276.
Lithotomy, 255.
Lithotrity, 278.
Little on club-foot, 297.
Lloyd on harelip, 187.
Lorinzer on obturator hernia, 244.
Louis on amputation, 48.
Lower extremity, amputations of, 68.
Lupus, operative treatment of, 179.
Macilwain on tracheotomy, 208.
Mackenzie, Dr. Morell, on thyrotomy, 215.
Mackenzie, Dr. R., on modification of Syme's amputation, 83.
on excision of joints, 110, 134.
Malgaigne on Chopart's amputation, 77.
on harelip, 187.
Mamma, excision of, 218.
Manec on ligature of axillary, 40.
Maunder on excision of the elbow-joint, 122.
Maclennan, Dr. G., on amputation above the shoulder-joint, 69.
Metacarpals, amputation of, 54.
excision of, 141.
Metatarsals, amputation of, 72.
Miller on amputation of penis, 288.
Monteiro, Dr., on ligature of aorta, 3.
Mooren on cataract operations, 166.
Moreaus, the, on excision of joints, 109, 114, 120, 132, 134.
Morel, tourniquet invented by, 47.
Morton, Dr., on radical cure of hernia, 245.
Murray, Dr., on ligature of aorta, 3.
Mussey, case of amputation, 70.
Mynors on amputation, 48.
Nasal polypi, removal of, 179.
Needle operation for cataract, 160.
Nelaton on harelip, 184.
Nerve-stretching, 299.
Nerve suture, 300.
Neurectomy, 299.
Neurotomy, 299.
Norris's statistics, 12, 20, 31.
Nunneley on excision of tongue, 198.
Εsophagotomy, 216.
Ollier on excision of joints, 110.
Os calcis, excision of, 143.
Ovariotomy, 224.
Paget on excision of tongue, 198.
Palate, fissures in soft, 200.
fissures in hard, 202.
Pancoast, Professor, on rhinoplastic operations, 178.
on radical cure of hernia, 245.
on neurectomy, 300.
on club-foot, 297.
Paracentesis thoracis, 219.
abdominis, 222.
ParΓ©, Ambrose, on amputation, 47.
on amputation at elbow-joint, 60.
Park on excision of joints, 110.
Peixotto, Dr., on ligature of innominate, 27.
Penis, amputation of, 287.
Perineal section, operation of, 273.
Percy on excision of joints, 109.
Phymosis, operation for, 285.
Pirogoff's modification of Syme's amputation, 80, 84.
Pollock on excision of lower jaw, 193.
Polypi, nasal, removal of, 179.
anal, removal of, 293.
Popliteal, ligature of, 22.
Porta's statistics, 20.
Porter, Professor, on ligature of innominate, 27.
on ligature of common carotid, 28.
statistics of amputation, 122.
Post on ligature of iliac, 10.
Pritchard, Mr., radical cure of hernia, 248.
Prolapsus ani, 292.
Pterygium, operation for, 156.
Puncture of bladder, 284.
Pupil, operations for artificial, 168.
Purmannus on amputation, 48.
Quain on anatomy of iliac, 4.
on anatomy of brachial, 43.
Regnoli on excision of tongue, 199.
Rhinoplastic operations, 175.
Richter on radical cure of hernia, 245.
Ricord on amputation of penis, 287.
Rigaud on amputation above the shoulder-joint, 67.
Ritchie, Dr. Charles, on ovariotomy, 224.
Rodgers, Dr., on ligature of subclavian, 36.
Rothmund on radical cure of hernia, 247.
Roux on ligature of subclavian, 38.
on ligature of axillary, 40,
on Chopart's amputation, 77, 78.
Sabatier on excision of joints, 109.
Salivary fistula, operation for, 196.
Sanson on recto-vesical lithotomy, 271.
Scalp, tumours of the, removal of 149.
Scapula, excision of (Syme), 140.
Schuh on radical cure of hernia, 245.
Schmucker on radical cure of hernia, 246.
Scultetus on amputation, 46.
Sedillot's operation for ligature of carotid, 30.
on excision of hip, 132.
Shoulder-joint, amputation at the, 66.
excision of, 115.
Signoroni on radical cure of hernia, 247.
Sims, Dr. M., on lithotomy, 272.
Smith, Dr. Nathan, on amputation at knee-joint, 91.
Smith, Thomas, on staphyloraphy, 200.
Smith, Dr. Tyler, on ovariotomy, 231.
Smyth on subclavian aneurism, 27.
Skey on ligature of subclavian, 38.
on amputation, 74, 91.
on excision of wrist, 127.
on rhinoplastic operation, 178.
on lithotomy, 262.
Solis Cohen, Dr., on laryngectomy, 302.
Solomon on strabismus, 158.
South on ligature of aorta, 3.
Spence, Professor, on amputation, 50, 66, 89, 100.
on excision of shoulder, elbow, and wrist joints, 118, 124, 128, 136.
Sperino on puncture of cornea, 159.
Stanley on excision of shoulder, 117.
Steven, Professor, on ligature of internal iliac, 15.
Strabismus, convergent, 156.
divergent, 157.
Streatfeild on entropium, 151.
on corelysis, 170.
Stricture, operation for, 276.
Stokes's amputation, 94.
Stromeyer on excision of joints, 110.
Subclavian, ligature of right, 34.
ligature of left, 35.
Surgeon-General, United States, statistical report by, 82.
Syme, Mr., on amputation at ankle-joint, 78.
on amputation through condyles of femur, 92.
on amputation at hip-joint, 106.
on amputation above the shoulder-joint, 73.
on modified circular amputation, 101.
on axillary aneurism, operation for, 41.
on cheiloplastic operation, 181.
Chopart's amputation introduced by, 77.
on excision of lower jaw, 191.
on excision of joints, 111-120.
on excision of scapula, 140.
on excision of tongue, 197.
on ligature of femoral, 20.
on ligature of gluteal, 14, 15.
on radical cure of hernia, 247.
on Hey's operation, 73.
on Εsophagotomy, 216.
on removal of polypi, 180.
on rhinoplastic operation, 175.
on stricture, 278-282.
Tait on ligature of iliac, 10, 12.
Taliacotian operation, 178.
Tarso-metatarsal joint, amputation at, 72.
Tarsus, amputation through the, 75.
Teale on amputation, 50.
on amputation of fore-arm, 59.
on amputation of arm, 63.
on amputation of leg, 89.
on amputation of thigh, 98.
on amputation of penis, 288.
Teale, T. P., on cataract, 163.
Tenotomy, 296.
Testicle, excision of, 290.
Textor on amputation at elbow-joint, 60.
Thigh, amputations of, 96.
Thompson on lithotrity, 275.
on stricture, 277.
Thorax, operations on the, 218.
Thyrotomy, 215.
Toes, amputations of, 68.
Tongue, excision of, 197.
Tonsils, excision of, 203.
Tracheotomy, 206-214.
Trephining and trepanning, 147.
Trichiasis, 151.
Tripier's amputation, 78.
Trocar of Sir S. Wells described, 227.
Tumours of scalp, removal of, 149.
of eyelids, removal of, 152.
Tyrrell on treatment of brachial aneurism, 43.
Upper extremity, amputation of, 50.
Urethra, stricture of, 276.
Velpeau on ligature of iliac, 12.
on ligature of subclavian, 38.
on amputation at elbow-joint, 60.
on amputation at knee-joint, 91.
on radical cure of hernia, 245.
Vermale on amputation of thigh, 102.
Verneuil on Chopart's amputation, 78.
Vessels of fore-arm, ligature of, 44.
Wakley on stricture, 279.
Warren on fissure of hard palate, 203.
Watson, Dr. P. H., on excision, 135.
on excision of elbow-joint, 123.
on laryngectomy, 216.
Wells, Sir Spencer, on ovariotomy, 224-229.
trocar, 227.
hernia, radical cure of, 247.
White on amputation of leg, 86.
on excision of joints, 110.
Whitehead, Mr. W., on excision of tongue, 199.
Willet on Εsophagotomy, 216.
Wood's statistics, 30.
on joints,
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