. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. f haemorrhage, which had producedcoma from blood-extravasation between the skull and duramater, after an injury. The vessel was reached and se-cured, the wound washed and drained, and a perfect recoveryensued. Compound Depressed Fracture


. Antiseptic surgery : an address delivered at St. Thomas's Hospital : with the subsequent debate to which are added a short statement of the theory of the antiseptic method, a description of the materials employed in carrying it out, and some applications of the method to operations and injuries in different regions of the body, and to wounds received in war. f haemorrhage, which had producedcoma from blood-extravasation between the skull and duramater, after an injury. The vessel was reached and se-cured, the wound washed and drained, and a perfect recoveryensued. Compound Depressed Fracture of Parietal Bone. W. A., age twenty-five, a carpenter, was admitted underMr. Crofts care, December 17, 1879, with a severe com-pound depressed fracture of the skull, accompanied by markedsymptoms of compression of brain. The accident was caused Korresfondenz-Blatt Jur Schvjeizer Arzte, 1879, p. 17. HEAD INJURIES. 22; by a piece of metal falling on the head, from a height offorty feet. The depressed surface occupied an area equal insize to a penny, over the posterior superior angle of the leftparietal bone. After shaving the scalp and disinfecting the externalwound, trephining was performed under the spray, the de-pressed bone being elevated, and the fragments removed. The «, J: 00050-J(M«^lOg Scic^c5S5Sie^T<c;<iCTCNOi«ii-(iNeOTHu5!Ot~<» Pulse and respiration normal 41.—Temperature chart in the case ofW. A. brain-substance was now exposed and found to be extensivelyinjured to some depth. The cavity thus produced was then thoroughly disinfected,first by a l-in-20 solution, and afterwards by strong spiritsolution of carbolic 1 in 10, much brain-substance comingaway during the washing. The edges of the large external wound having been care-fully adjusted and united by catgut sutures, a drain was Q 226 ANTISEPTIC SURGERY. inserted into the cerebral wound, and antiseptic gauzeapplied in ample quantity outside. The dressing was renewed the following


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