. 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. figure.)Flap Amputation as performed by Me. Luke, on the lower half of the , middle of the outside of the thigh and point of entrance of knife; B, under part;C, upper part: A to E, the under flap: G to F, dotted
. 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. figure.)Flap Amputation as performed by Me. Luke, on the lower half of the , middle of the outside of the thigh and point of entrance of knife; B, under part;C, upper part: A to E, the under flap: G to F, dotted line of upper flap, beginningshort of commencement of under flap. The assistant holding up the flap, the surgeon cuts theattachment of the gluteus medius muscle, from the upperedge of the trochanter, if it has not been already done, opensthe capsular ligament of the joint, and divides the liga-mentum teres. The head of the bone can then be readilywithdrawn from the acetabulum. The knife being placedbehind the head of the bone and the trochanter, should becarried obliquely downward and backward, so as to form ashorter flap behind than was made before. The amputa-tions of the hip-joint, performed in the Crimea, have not, Iunderstand, been as successful as the ability with which theywere performed might have led the operators to expect. MR. GUTHRlE^S OPERATION. 83 Fig. Mr. Gctheies OPEEATioy. Left side—a, anterior superior spine of ilium: 6, commencement of anterior incision,continued by the black line; c, the posterior incision joining the anterior one. (Second figxire.)& c. line of incision marked bv three sutures. 81. Amputation by the circular incision is to be done inthe following manner: When a tourniquet is used, which itshould not be, if the surgeon can depend on his assistants,the pad should be firm and narrow, and carefully held directlyover the artery, while the ends of the bandage in which it iscontained are pinned together. The strap of the tourniquetis then t
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Keywords: ., bookcentury1800, bookdecade1860, bookpublishe, booksubjectsurgery
