| Description | Teaching notes on following subjects [some notes are more detailed than others]:
introductory - including plan of course; text book; things needed at operations; assistants required at operation; accessories; disinfection of hands and ways of holding knife;
manipulative operations about mouth & nose etc;
operations on orbits, eyelids, and ears;
subcataneous division of tendons, fasciae etc;
operations for piles;
lumbar colotomy;
opening psoas abscesses in loin;
puncture of kidney cysts;
curcumcision;
deligation of arteries - extensive notes with illustrations;
operations on veins;
trephining skull;
catheterism of oesophagus;
operations about throat;
general on paracentesis & trocars & aspirators;
laparotomies - entry annotated on page 75, '16th June 1883 Saturday. 1st Prize Examination 10.a.m. Lower Hall 33 students present out of 49 required 2 1/2 hours';
calculus;
excision of the uterus;
femoral herniotomy;
amputations of the penis;
general on amputations and resections;
amputations & resections of the hand;
operations of arm & forearm;
operations on tongue, jaws etc;
operations on foot and leg;
operations on knee & thigh - entry annotated on page 159, '14th July 1883. Saturday - 2nd Final Prize Examination - 10.a.m. Lower Hall - 27 competitors attended out of a possible 49 = one withdrew. They had all finished at 12.45 say three hours';
eye operations - used pigs and sheep eyes;
uterine and vaginal surgery - includes a cutting from 'Proceedings of Societies', dated 17 March 1888, relating to 'Dr. Alexander's' operation. Annotated on page 184, 'On Saturday the 21st July, the surgery museum was thrown open for showing the surgical instruments from 10.a.m. to 12. noon'. Annotated on page 186, '24 July 1883 I was absent from Professional Engagement';
and plastic surgery - consists of over thirty lined, coloured drawings of plastic surgery 'methods', presumably drawn by Ogston, and taken from 'Konig vol 1 p. 218'.
In addition, Ogston's introductory lecture describes his practice of teaching operative surgery and his surgical methods:
'Introductory' - 'utility of operative surgery course operations are manipulations that have to be learnt. Anatomy is of value value has its limits wrong to operate anatomically surgeon must operate, not direct. Each operation has its rules these have to be learnt students should take notes what to note';
'Plan of course' - 'The operations will be described in convenient sequence. Students will perform them must cast aside diffidence and not mind failure these are needful training. Every students name put on a card card drawn for each operation student comes down & operates no applause or censure by class. Duplicate operations allotted by card performed in afternoon with Dr Davidson [and subsequent assistants]. Washing and disinfecting hands'.
'Text book. Smith & Walsham';
'Things needed at operations' - 'Bed (bottles);
operation table;
old carpet;
old sheet;
[blanket?];
hot water;
cold water;
waste pail;
pins;
spray table;
4 basins;
6 towels;
[volume number 2 notes '6'] handkerchiefs;
2 saucers or plates [volume number 2 notes '2 soup plates'];
soap;
waterproof sheeting (single);
3 sponges;
2 oz chloroform;
1 pint ether;
(2 x) 80 oz 1: 20 carbolic lotion;
bandages;
1 pint absolute ether;
Lister's gauge 1 piece;
salicylic wool 2 oz;
protective;
Macintosh;
carbolic oil';
'Assistants required at operation' - '1. chloroformist, 2. assistant at basins & sponges (nurse), 3. assistant at operation, 4. assistant to hold limbs, 5. assistant at spray producer';
'Accessories' - 'spray producer [volume number 2 notes 'or ?invigator'], razor, ether inhaler, clinical thermometer, pumice, turpintine, coat';
'Disinfection of hands';
'ways of holding knife' - 1. like pen, 2. like carving knife, 3. like sword, 4. like bow (of violin). Mentions 'don't dissect' with these methods and 'holding disector & cutting on it';
'incisions' - ends, vertical edges, keep same plane & avoid scoring;
'sutures' - design of sutures, 1. interrupted, faults, 2. harelip, methods, advantages, 3. continuous, buried sutures - drain, perplicated ends.
Ogston notes the 24 May 1883 as a holiday and occasionally refers to some classes as 'a long day'.
Inside its front cover, the volume is entitled 'Class of Operative Surgery' and includes a brief index for the course. |