. Annals of surgery. made and in each casethe tracings were normal. An examination of the skiagraph ofthe chest shows perfect apposition and union of the severed ribs. The patient suflfers no inconvenience or distress as a resultof the operation. He has since been hunting and fishing, and ina recent communication states that he is strong and in goodhealth (Fig. i). From a study of these cases and a review of the literatureon the subject of surgery of the heart, one must be convincedthat injuries to tlie heart can no longer be considered asinvariably fatal, but that the heart may be manipulated


. Annals of surgery. made and in each casethe tracings were normal. An examination of the skiagraph ofthe chest shows perfect apposition and union of the severed ribs. The patient suflfers no inconvenience or distress as a resultof the operation. He has since been hunting and fishing, and ina recent communication states that he is strong and in goodhealth (Fig. i). From a study of these cases and a review of the literatureon the subject of surgery of the heart, one must be convincedthat injuries to tlie heart can no longer be considered asinvariably fatal, but that the heart may be manipulated andtreated surgically just as any other organ of the body. Inthe treatment of these injuries it is well to bear in mind cer-tain observations that have been made in regard to the natureof the wounds, the process of repair, the method of surgicalattack, and the complications that may arise. The principal injuries to which the heart has been subjectedare those which resulted in puncture wounds, stab or incised Fig. f. \ Case II. Penetrating stab wound of the left ventricle of the heart, with recovery of thepatient. (Authors case.) Fig. 2.


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885