Manual of Surgery

Manual of Surgery

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Title: Manual of Surgery Volume First: General Surgery. Sixth Edition.
Author: Alexis Thomson and Alexander Miles
Release Date: March 4, 2006 [EBook #17921]
Language: English
Character set encoding: ISO-8859-1
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OXFORD MEDICAL PUBLICATIONS

MANUAL OF SURGERY

BY
ALEXIS THOMSON, F.R.C.S.Ed. PROFESSOR OF SURGERY, UNIVERSITY OF EDINBURGH SURGEON EDINBURGH ROYAL INFIRMARY
AND
ALEXANDER MILES, F.R.C.S.Ed. SURGEON EDINBURGH ROYAL INFIRMARY
VOLUME FIRST GENERAL SURGERY
SIXTH EDITION REVISED WITH 169 ILLUSTRATIONS

LONDON HENRY FROWDE and HODDER & STOUGHTON THE LANCET BUILDING 1 & 2 BEDFORD STREET, STRAND, W.C.2

First Edition 1904 Second Edition 1907 Third Edition 1909 Fourth Edition 1911 " " Second Impression 1913 Fifth Edition 1915 " " Second Impression 1919 Sixth Edition 1921

PRINTED IN GREAT BRITAIN BY MORRISON AND GIBB LTD., EDINBURGH

PREFACE TO SIXTH EDITION
Much has happened since this Manual was last revised, and many surgical lessons have been learned in the hard school of war. Some may yet have to be unlearned, and others have but little bearing on the problems presented to the civilian surgeon. Save in its broadest principles, the surgery of warfare is a thing apart from the general surgery of civil life, and the exhaustive literature now available on every aspect of it makes it unnecessary that it should receive detailed consideration in a manual for students. In preparing this new edition, therefore, we have endeavoured to incorporate only such additions to our knowledge and resources as our experience leads us to believe will prove of permanent value in civil practice.
For the rest, the text has been revised, condensed, and in places rearranged; a number of old illustrations have been discarded, and a greater number of new ones added. Descriptions of operative procedures have been omitted from the Manual, as they are to be found in the companion volume on Operative Surgery, the third edition of which appeared some months ago.
We have retained the Basle anatomical nomenclature, as extended experience has confirmed our preference for it. For the convenience of readers who still employ the old terms, these are given in brackets after the new.
This edition of the Manual appears in three volumes; the first being devoted to General Surgery, the other two to Regional Surgery. This arrangement has enabled us to deal in a more consecutive manner than hitherto with the surgery of the Extremities, including Fractures and Dislocations.
We have once more to express our thanks to colleagues in the Edinburgh School and to other friends for aiding us in providing new illustrations, and for other valuable help, as well as to our publishers for their generosity in the matter of illustrations.
EDINBURGH, March 1921.

CONTENTS
PAGE

CHAPTER I
REPAIR 1

CHAPTER II
CONDITIONS WHICH INTERFERE WITH REPAIR 17

CHAPTER III
INFLAMMATION 31

CHAPTER IV
SUPPURATION 45

CHAPTER V
ULCERATION AND ULCERS 68

CHAPTER VI
GANGRENE 86

CHAPTER VII
BACTERIAL AND OTHER WOUND INFECTIONS 107

CHAPTER VIII
TUBERCULOSIS 133

CHAPTER IX
SYPHILIS 146

CHAPTER X
TUMOURS 181

CHAPTER XI
INJURIES 218

CHAPTER XII
METHODS OF WOUND TREATMENT 241

CHAPTER XIII
CONSTITUTIONAL EFFECTS OF INJURIES 249

CHAPTER XIV
THE BLOOD VESSELS 258

CHAPTER XV
THE LYMPH VESSELS AND GLANDS 321

CHAPTER XVI
THE NERVES 342

CHAPTER XVII
SKIN AND SUBCUTANEOUS TISSUES 376

CHAPTER XVIII
THE MUSCLES, TENDONS, AND TENDON SHEATHS 405

CHAPTER XIX
THE BURS? 426

CHAPTER XX
DISEASES OF BONE 434

CHAPTER XXI
DISEASES OF JOINTS 501
INDEX 547

LIST OF ILLUSTRATIONS
FIG. PAGE
1. Ulcer of Back of Hand grafted from Abdominal Wall 15
2. Staphylococcus aureus in Pus from case of Osteomyelitis 25
3. Streptococci in Pus from case of Diffuse Cellulitis 26
4. Bacillus coli communis in Pus from Abdominal Abscess 27
5. Fraenkel's Pneumococci in Pus from Empyema following 28 Pneumonia
6. Passive Hyper?mia of Hand and Forearm induced by Bier's 37 Bandage
7. Passive Hyper?mia of Finger induced by Klapp's Suction 38 Bell
8. Passive Hyper?mia induced by Klapp's Suction Bell for 39 Inflammation of Inguinal Gland
9. Diagram of various forms of Whitlow 56
10. Charts of Acute Sapr?mia 61
11. Chart of Hectic Fever 62
12. Chart of Septic?mia followed by Py?mia 63
13. Chart of Py?mia following on Acute Osteomyelitis 65
14. Leg Ulcers associated with Varicose Veins 71
15. Perforating Ulcers of Sole of Foot 74
16. Bazin's Disease in a girl ?t.?16 75
17. Syphilitic Ulcers in region of Knee 76
18. Callous