| Description | 'Operative surgery' teaching notes on following subjects:
Health of the patient - including general appearance; general preparation of patient; antiseptic preparation of patient; artificial ?anaemia; anaesthesia [including death rates attributed to ether & chloroform and note, 'chloroform easily administered, small quantity required agreeable vapour, non inflammable. Ether difficult to anaesthetise, large quantity needed choking vapour, inflammable & explosive much excitement produced.' Also: ['Glasgow Committee' says that] 'chloroform depresses heart when dropped on unexpectedly during administration [and] after cessation. Hyderabad commission denies this, (1890) states that chloroform causes gradual fall respiration only need be attended to This is ?doctrine always held by Edinburgh school Macwilliam finds heart depression (1890) Experience in patients also shows it. sets in with vomiting & nausea & diaphragm action Ether does not depress the heart [?Evidence depresses slowly & gradually]'; notes continue]; preparation of operator and assistants; management of knife; forms of incision; application of sutures; [requisites at operations & assistants scored out, presumably by Ogston];
smaller operations about head ['omitted 1896 - 7'] - includes seton; bellocq's plugging; eustachian catheterism; frontal sinus catheterism; stenons duct catheterism; operation for salivary fistula; whartons duct catheterism; teeth extraction; stumps; eyelids & ears operations [extensive notes; notes indicate the number of operations for each subject];
subcataneous division of tendons, fasciae & muscles ['omitted 1896 - 7'] - [notes indicate the number of operations for each subject];
operations for piles [partly 'omitted 1896 - 7'] - includes colon; renal surgery; [notes indicate the number of operations for each subject];
deligation of arteries [extensive notes & partly 'omitted 1896 - 7'] - includes deligation of radial artery; deligation of ulnar artery; deligation of brachial artery; deligation of axillary artery; deligation of subclavian artery; deligation of ?innominate artery; deligation of common carotid; deligation of lingual artery; deligation of common iliac artery; deligation of external iliac artery; deligation of femoral artery; deligation of anterior tibial artery; deligation of posterior tibial artery; deligation of popliteal artery; deligation of gluteal artery; [notes indicate the number of operations for each subject];
tracheotomy - notes indicate the number of operations for each subject;
amputation & resections - [extensive notes & partly 'omitted 1896 - 7'] including hand; wrist and arm; Langenbeck's [Bernhard Rudolf Konrad von Langenbeck (1810 - 1887), German surgeon, developer of Langenbeck's amputation & founder of Langebeck's Archives of Surgery] resection of carpus; amputation through forearm; resection of elbow - joint; amputation through humerus; artificial arms [just a heading]; excision of mamma; excision of tongue; resection of superior maxilla; resection of inferior maxilla; metatarsal disarticulation of great toe; Lisfranc's [?Jacques Lisfranc (1790 - 1847), field surgeon in Napoleon's army] disarticulation; Chopart's disarticulation; Purigoff's [? Prigoff] amputation; Symes amputation; resection of ankle joint; amputation of leg; resection of knee joint; Carden's amputation; Teale's amputation of thigh; amputation of thigh; resection of hip joint; disarticulation at hip joint; laparotomies etc; gastrostomy; perforating ulcer of stomach; suture of intestine; resection of stomach; gastro - enterostomy; jejunostomy; ?foretas operation; stomach dilatation; cholecystotomy & cholecystectomy; cholecystenterostomy; ?Zielewicz's operation; [removal of calculus by incising duct scored out, presumably by Ogston]; laparotomy for obstruction of the bowels etc; ovariotomy; oophorectomy; [notes indicate the number of operations for each subjects];
neurotomy etc - includes brachial plexus; ant. [anterior] tibial; ant. [anterior] crural; sciatic; obturator; optic nerve; spinal accessory; frontal nerve; infra - orbital of superior maxillary; trifacial nerve & gasserian ganglion; inferior dental of 3rd branch: and 32d branch of trifacial; facial nerve; ?tigrial (a gustatory) nerve; excision of uterus; amputation of cervix uteri; amputation of supra - vaginal collum; curetting diseased cervix & uterus; [notes indicate the number of operations for each subjects];
operation for uterine adhesions; hystero - pexy; perineo - plasty; vesieo - vaginal fistula [annotated, 'End of course 1896/7'];
Volume includes an 'Operative Blank', which had to be filled in by the surgeon on behalf of a patient. Contains instructions on preparing the patient for operation; preparing the operation room and bed & preparing dressings etc. Also contains a list of instruments required in various operations: general list of instruments etc, for operations on the brain and spine, for operations on the mouth and throat, for abdominal operations, for operations on the rectum, for operations on the male genito - urinary organs, for operations on the female genito - urinary organs, for operations on bones & special instruments. |