An earnest endeavour has been used to make the references correct and copious: for any mistakes or omissions the author would crave indulgence. The four plates which precede the letterpress were drawn on wood (from original photographs) by Mr. D.W. Williamson, Melbourne Place, and the lines of incision for the various operations were added by the author. The rough woodcuts scattered through the work were drawn on wood by the author, and for their roughness he, not his engraver, is responsible. He also hopes that the references in the letterpress will be accepted as sufficient acknowledgment of the true ownership, in those few instances in which the idea of the diagram has been borrowed. It has been thought unnecessary to introduce woodcuts of surgical instruments, as the illustrated catalogues lately published by Weiss, Maw, and others, are sufficiently accurate. In excuse of the frequent baldness and brevity of the style, the author must point to the size and price of the work. Its composition would have been easier had its dimensions been greater. Though intended chiefly to guide the studies, on the dead subject, of students and junior practitioners, the author ventures to hope that the Manual may be useful to those who, in the public services, in the colonies, or in lonely country districts, find themselves constrained to attempt the performance of operations which, in the towns, usually fall to the lot of a few Hospital Surgeons. JOSEPH BELL. 5 CASTLE TERRACE, EDINBURGH, _July 1866._ CONTENTS. CHAPTER I. LIGATURE OF ARTERIES. PAGE Ligature of Arteries--General Maxims--Ligature of Aorta--Iliacs--Gluteal--Femoral--Popliteal--Innominate--Carotids-- Lingual--Subclavian--Brachial, etc., 1-45 CHAPTER II. AMPUTATIONS. Eras of Amputation--Flap and Circular compared--Special Amputation of Arm and Leg, 46-107 CHAPTER III. EXCISION OF JOINTS. Brief Historical Sketch--Comparison of Excisions with Amputations--Special Excisions of the six larger Joints--Excisions of smaller Joints and Bones, 108-146 CHAPTER IV. OPERATIONS ON CRANIUM AND SCALP. Trephining--Excision of Wens, 147-150 CHAPTER V. OPERATIONS ON THE EYE AND ITS APPENDAGES. Entropium and Ectropium--Trichiasis--Tarsal Tumours--On Lachrymal Organs--Mr. Bowman's Operation--Pterygium--Strabismus, convergent and divergent--Paracentesis of the Anterior Chamber--Operations for Cataract by Displacement, Solution, and Extraction--Various methods of Extraction--Operations for Artificial Pupil--Iridesis--Corelysis--Iridectomy--Excision of Staphyloma--Excision of Eyeball, 151-174 CHAPTER VI. OPERATIONS ON THE NOSE AND LIPS.