. Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands, from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. Revised to October, 1855. tached below,turned over and hung down from the heart to the extent oftwo inches, when in the fresh state, the part of the ventriclefrom which it had been sliced being puckered and coveredby a serous membrane like the
. Commentaries on the surgery of the war in Portugal, Spain, France, and the Netherlands, from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate. Revised to October, 1855. tached below,turned over and hung down from the heart to the extent oftwo inches, when in the fresh state, the part of the ventriclefrom which it had been sliced being puckered and coveredby a serous membrane like the heart itself. The lance thenpenetrated the central tendon of the diaphragm, making anoval opening, easily admitting the finger, the edges beingsmooth and well defined. It then entered the liver, on thesurface of which there was a small, irregular mark or cica-trix. The heart in front was attached to the pericardium bysome strong bands, the result of adhesive inflammation, butthe general appearance of the serous membrane showed thatthis had not been either great or extensive. The pericardiumwas not thickened. ILLUSTRATIVE CASE OF WOUND OF THE HEART. 4tl If this man had lived long enough, he raight have fur-nished an instance of hernia of the stomach or of intestineinto the pericardium. The preparation is in the militarymuseum at Chatham, Class 1, Div. 1, Sect, t, No. a, right ventricle; ft, left ditto; c. right auricle; d, left ditto; e, aorta; /, pulmonaryartery; g. coronary ditto; /(, a portion of the cartilages of the ribs seen on theinside: i, a portion of the diaphragm; k, the pericardium. 1, a portion of the pericardium reflected to show abnormal adhesions to the surface ofthe heart; 2, aperture of wound through the diaphragm and the pericardium; 3,pendulous slice off the substance of the right veutiicle; 4, puckered cicatrix of thewound of the ventricle. That the heart, when exposed, is insensible, or nearly so,to the touch, was known to Galen and to Harvey. Galen
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Keywords: ., bookcentury1800, bookdecade1860, bookpublishe, booksubjectsurgery
