E-text prepared by Michael Ciesielski, Pilar Somoza Fernández, and the Project Gutenberg Online Distributed Proofreading Team (https://www.pgdp.net) Note: Project Gutenberg also has an HTML version of this file which includes the original illustrations. See 24564-h.htm or 24564-h.zip: (https://www.gutenberg.org/dirs/2/4/5/6/24564/24564-h/24564-h.htm) or (https://www.gutenberg.org/dirs/2/4/5/6/24564/24564-h.zip) Transcriber's note: Spelling mistakes have been left in the text to match the original, except for obvious typographical errors. A MANUAL OF THE OPERATIONS OF SURGERY For the Use of Senior Students, House Surgeons, and Junior Practitioners. Illustrated. by JOSEPH BELL, F.R.C.S. EDIN. Lecturer on Clinical Surgery, Surgeon to the Royal Infirmary and to the Eye Infirmary, and Late Demonstrator of Anatomy in the University of Edinburgh. FIFTH EDITION, REVISED AND ENLARGED. Edinburgh: Maclachlan & Stewart, Booksellers to the University. London: Simpkin, Marshall, & Co. 1883. TO THE MEMORY OF JAMES SYME, ESQ., F.R.C.S. AND F.R.S.E. SURGEON TO THE QUEEN IN SCOTLAND PROFESSOR OF CLINICAL SURGERY IN THE UNIVERSITY OF EDINBURGH ETC. ETC. THIS BOOK IS DEDICATED BY HIS OLD HOUSE-SURGEON AND ASSISTANT THE AUTHOR. PREFACE TO FIFTH EDITION. To retain the small size of the work and to keep it up to date have been the Author's aim in the Fifth Edition. 20 MELVILLE STREET, EDINBURGH, _August 1883._ PREFACE TO THE FIRST EDITION. Having been asked, year after year, by the members of my Class for Operative Surgery, to recommend to them some Manual of Surgical Operations which might at once guide them in their choice of operations, and give minute details as to the mode of performance, I have been gradually led to undertake the production of this little work. My aim has been to describe as simply as possible those operations which are most likely to prove useful, and especially those which, from their nature, admit of being practised on the dead body. In accordance with this plan, neither historical completeness of detail, nor much variety in the methods of performing any given operation, is to be expected. Hence, also, many omissions which would be unpardonable in the briefest system of Surgery are unavoidable. For example, excision of tumours and operations for necrosis are hardly mentioned, because for these no special instructions can well be given; for, while general principles may guide us to _what_ should be done, the special circumstances of each case must dictate _how_ it is to be done. In such a work as this, to attempt originality would be undesirable and intrusive; a judicious selection, a faithful compilation, are all that can be expected. That the selection of operations may sometimes show "Northern Proclivities" is possible; and this is perhaps not unnatural to a scholar and teacher in the Edinburgh School.