A Treatise on Gunshot WoundsLongmore, T. (Thomas), Sir
History
A Treatise on Gunshot Wounds
Longmore, T. (Thomas), Sir
Gunshot wounds
The results of wounds unfit soldiers for military service in many
ways, according to the nature of the wound and the region in which it
is inflicted; and the pensions consequent on their discharge entail
heavy expenses of long duration on the country. It was hoped that
the improvements in conservative surgery would have diminished the
number of disabled soldiers as compared with former wars; but the
corresponding improvements in the power and means of destruction, with
other circumstances, have defeated this hope, and the returns do not
show such to be the result. Even the cases where resections of the
joints have been performed, and fractures united, which previously
would have been treated by amputation, have rarely presented such
cures as to render the men available for military service, though the
preserved limb may still be of use in the work of civil life. Formerly,
all men who thus became unfitted to perform any of the duties to which
a soldier is liable were removed from the army; but, by an order from
the Horse Guards of 1858, wounded soldiers, though rendered unfit for
active service in the field, were directed to be retained for modified
duty in such employments as they are capable of executing. The results
of the increased practice of conservative surgery may, therefore, prove
valuable to the public service, now that the opportunity of secondary
employment is laid open. The reports from the hospitals in Italy
show that during the recent campaign in that country the practice of
conservative surgery after gunshot fractures has been very limited,
and in the lower extremity has been almost wholly abandoned, early
amputation being practiced instead.
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