Ho. 2.?LACERATION OF THE HAND AND PART OF FORE-ARM, CAUSED BY THE BURSTING OF A GUN; AMPUTATION AT THE MIDDLE THIRD OF THE FORE-ARM j SLOUGHING OF
FLAPS; RECOVERY. Sidam Bouki, a Bengali, aged 40 years, a strong, healthy-looking man, wa3 admitted into tlie Bancoorah Charitable Dispensary on the 7th of May, 1870. The hand was completely blown to pieces, and the radius and ulna fractured at their lower third the by bursting of a gun. He was losing, aud had lost a great deal of blood. He was at once brought under the influence 0f chlorplorm, and amputation at the middle third of the forearm performed. The flaps were mopped over with carbolic acid and oil (this i3 a proceeding I would never again repeat), and then brought together with sutures. The dressing consisted of carbolic acid and oil. On the 11th the patient became feverish, and on the 12th the stump was swollen and tense, necessitating the removal of the sutures. The flaps had a very unhealthy appearance. Warm carbolic acid lotion was applied and salines administered. On the 13th the flaps began to slough. The same lotion was continued, and strong soup, brandy and soda-water allowed. On the 17th sloughs began to come away, and a few days after healthy granulation set up and the stump gradually healed. He was discharged, quite well, on the 19th of June?one month and twelve days after the operation. Both these men were treated in the wards amongst other patients. I feel convinced that the sloughing of the flaps was the result of my having mopped them over with the carbolic acid and oil, adhesion having been thereby prevented. THE
No. 3.?LACERATION OF THE HAND AND WRIST, CAUSED BY THE BURSTING OF A GUN; AMPUTATION AT THE LOWER TtiIRD OF THE FORE-ARM ; RECOVERY.
An Ooriya, named Gopinath Kohrilla, aged 25 years, was admitted into the Balasore Pilgrim Hospital on the 16th November, 1871. The hand had been shattered to pieces by the bursting of a gun. The thumb and two first fingers were completely blown away, and the third metacarpal bone was fractured. On the 18th the man after a great deal of persuasion, consented to have the part amputated. I performed the flap operation The flaps were brought at the lower third of the fore-arm. together in the usual way, aud a dressing of dilute carbolic acid After the operation, the patient was kept in a wellapplied. ventilated room, apart from all the other patients. Ooriyas are so prejudiced that they cannot be induced to take flesh of any description, or in any shape. This man was discharged, well, on the 9th of December?three weeks after the operation. Balasore, Orissa.
THREE CASES OF AMPUTATION OF THE UPPER EXTREMITY. \
By Y. IIichahds,
Civil Medical
Officer.
No. 1.?COMPOUND FRACTURE AT THE ELBOW-JOINT; AMPUTATION AT THE MIDDLE THIRD OI? THE ARM ; RECOVERY.
Jadu Botjki, a small, spare man, aged 50 years, was admitted into the Bancoorah Charitable Dispensary on the 8th of March, 1870. He had some time previously met with an accident and sustained a compound fracture at the elbow-joint. The wounds only partially healed, and the bones became diseased; and this not only caused him great inconvenience, but gave rise to much pain, and rendered him daily weaker. On examination I found the joint very muck enlarged, tke skin very tender, and several cloacte, tkrougk wkick dead bone could be felt extending all round the joint and nearly up to the middle third of the humerus. On the 23rd of March he was brought under tke influence of chloroform, and excision of the joint being out of the question, the arm was amputated at its middle third. The edge of the flaps having been fastened together in the usual way, a strip of lint, soaked in carbolic acid and oil, was applied to them, and another piece of lint which had been similarly treated was then placed over the whole stump, and lastly, a few turns of a bandage were mada around the stump to support it. This dressing was not removed until the 30th?seven days after the operation. The patient was allowed wine and a liberal diet throughout! The dressing consisted of lint and carbolic acid and oil. He was discharged, looking quite stout and well, on the 14th of May?one month and twenty-two days after the operation.
FLAPS; RECOVERY. Sidam Bouki, a Bengali, aged 40 years, a strong, healthy-looking man, wa3 admitted into tlie Bancoorah Charitable Dispensary on the 7th of May, 1870. The hand was completely blown to pieces, and the radius and ulna fractured at their lower third the by bursting of a gun. He was losing, aud had lost a great deal of blood. He was at once brought under the influence 0f chlorplorm, and amputation at the middle third of the forearm performed. The flaps were mopped over with carbolic acid and oil (this i3 a proceeding I would never again repeat), and then brought together with sutures. The dressing consisted of carbolic acid and oil. On the 11th the patient became feverish, and on the 12th the stump was swollen and tense, necessitating the removal of the sutures. The flaps had a very unhealthy appearance. Warm carbolic acid lotion was applied and salines administered. On the 13th the flaps began to slough. The same lotion was continued, and strong soup, brandy and soda-water allowed. On the 17th sloughs began to come away, and a few days after healthy granulation set up and the stump gradually healed. He was discharged, quite well, on the 19th of June?one month and twelve days after the operation. Both these men were treated in the wards amongst other patients. I feel convinced that the sloughing of the flaps was the result of my having mopped them over with the carbolic acid and oil, adhesion having been thereby prevented. THE
No. 3.?LACERATION OF THE HAND AND WRIST, CAUSED BY THE BURSTING OF A GUN; AMPUTATION AT THE LOWER TtiIRD OF THE FORE-ARM ; RECOVERY.
An Ooriya, named Gopinath Kohrilla, aged 25 years, was admitted into the Balasore Pilgrim Hospital on the 16th November, 1871. The hand had been shattered to pieces by the bursting of a gun. The thumb and two first fingers were completely blown away, and the third metacarpal bone was fractured. On the 18th the man after a great deal of persuasion, consented to have the part amputated. I performed the flap operation The flaps were brought at the lower third of the fore-arm. together in the usual way, aud a dressing of dilute carbolic acid After the operation, the patient was kept in a wellapplied. ventilated room, apart from all the other patients. Ooriyas are so prejudiced that they cannot be induced to take flesh of any description, or in any shape. This man was discharged, well, on the 9th of December?three weeks after the operation. Balasore, Orissa.
THREE CASES OF AMPUTATION OF THE UPPER EXTREMITY. \
By Y. IIichahds,
Civil Medical
Officer.
No. 1.?COMPOUND FRACTURE AT THE ELBOW-JOINT; AMPUTATION AT THE MIDDLE THIRD OI? THE ARM ; RECOVERY.
Jadu Botjki, a small, spare man, aged 50 years, was admitted into the Bancoorah Charitable Dispensary on the 8th of March, 1870. He had some time previously met with an accident and sustained a compound fracture at the elbow-joint. The wounds only partially healed, and the bones became diseased; and this not only caused him great inconvenience, but gave rise to much pain, and rendered him daily weaker. On examination I found the joint very muck enlarged, tke skin very tender, and several cloacte, tkrougk wkick dead bone could be felt extending all round the joint and nearly up to the middle third of the humerus. On the 23rd of March he was brought under tke influence of chloroform, and excision of the joint being out of the question, the arm was amputated at its middle third. The edge of the flaps having been fastened together in the usual way, a strip of lint, soaked in carbolic acid and oil, was applied to them, and another piece of lint which had been similarly treated was then placed over the whole stump, and lastly, a few turns of a bandage were mada around the stump to support it. This dressing was not removed until the 30th?seven days after the operation. The patient was allowed wine and a liberal diet throughout! The dressing consisted of lint and carbolic acid and oil. He was discharged, looking quite stout and well, on the 14th of May?one month and twenty-two days after the operation.
