A dissertation on the inutility of the amputation of limbs — John Shaqi
A dissertation on the inutility of the amputation of limbsBilguer, Johann Ulrich
History
A dissertation on the inutility of the amputation of limbs
Bilguer, Johann Ulrich
Amputation -- Early works to 1800
The first case I shall relate is very remarkable, of a soldier in
his royal highness prince Henry's regiment, whom my friend M.
Kretchmer, an able artist, and principal surgeon of the hospital, and
Mr. Sterneman one of the ordinary surgeons, had the care of under my
direction, and cured compleatly to the surprize of every body. The left
arm was terribly shattered by four different pieces of iron shot, the
os humeri was broke through the middle, and the arm pierced with eight
holes, and at the joint of the elbow there was a true aneurism, of the
bigness of a large fist. Mr. Kretchmer began by applying the tourniquet
at the armpit in order to stop the bleeding; then of the eight wounds
or apertures, he chose two nearest to the fracture, and dilated them
in such a manner as to lay the bone bare; he likewise dilated a
little the six others; after these dilatations he extracted several
large splinters, he then brought the two ends of the bone together,
placed them in their proper position, in which he made them be kept
by assistants, while he moistened all the wounds with equal parts of
spirit of wine and arquebusade water, and covered them with lint; he
wrapped up the whole arm in linnen cloth, and fastened the bandage
moderately tight: he next applied gradual compresses to the aneurism,
and bound it up with a roller by itself; after which he moistened
the whole with the same mixture of spirit of wine and arquebusade
water, and as much martial ball as he could dissolve in it, and
applied over the bandage for the aneurism the fomentation which I have
already mentioned, made with the species for the black decoction[45].
He slackened the tourniquet every two hours, drawing it tight again
immediately; he removed it altogether at the end of a few days,
contenting himself with compressing the artery under the armpit with
bolsters and a bandage which did not hinder the dressing of the wounds.
He dressed them every day, but the bandage for the aneurism he renewed
only every other day, although two of the openings lay under it. In
this manner he persevered with great assiduity for a considerable time.
All this while he made the hand and fore arm be secured in a cylinder
of strong pasteboard, and suspended in a sling. He bled the patient
frequently, gave him vinegar and water for his drink, and made him take
from time to time the powders which I mentioned before, consisting
of nitre, Epsom salt, cream of tartar, and true Armenian bole[46].
By these means only, he restored this arm, which was so bad that it
could not even be taken off, to such a state, that in the course of
three months, after having removed some splinters, the aneurism was
dispersed, and the fracture and wounds were perfectly cured.
We cured another soldier belonging to the regiment of Brandenburgh
Bareith, whose elbow was miserably torn by five pieces of iron shot,
some of which stuck fast in the part, and where both bones of the fore
arm were shattered.
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