Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.Guthrie, G. J. (George James)
History
Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands: from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.
Guthrie, G. J. (George James)
Crimean War, 1853-1856 -- Medical care; Napoleonic Wars, 1800-1815 -- Medical care; Surgery, Military -- Europe -- History; War wounds -- Europe -- History
21. A ball will frequently strike a bone, and lodge, without causing
a fracture, although it will a fissure. It will even go through the
lower part of the thigh-bone, between or a little above the condyles,
merely splitting without separating it, and some balls have lodged in
bones for years, with little inconvenience. It should nevertheless be
a general rule not to allow a ball to remain in a bone, if it can be
removed by any reasonable operation. The rule is not entirely devoid of
exception. Lieutenant-Colonel Dumaresq, aid-de-camp to the present Lord
Strafford, was wounded at Waterloo by a ball which penetrated the right
scapula, and lodged in a rib in the axilla. The thoracic inflammation
nearly cost him his life, but he ultimately quite recovered, and died
many years afterward of apoplexy, the ball remaining enveloped in bone.
22. When a bayonet is thrust into the body it is a punctured wound made
by direct pressure; when of little depth, much inconvenience rarely
ensues, and the part heals slowly, but surely, under the precaution of
daily pressure. A punctured wound, extending to considerable depth,
labors under disadvantages in proportion to the smallness of the
instrument, and the differences of texture through which it passes.
When the instrument is large, the opening made is in proportion, and
does not afford so great an obstacle to the discharge of the fluids
poured out or secreted as when the opening is small. Lance wounds are
therefore less dangerous than those inflicted by the bayonet. When a
small instrument passes deep through a fascia, it makes an opening in
it which is not increased by the natural retraction of parts, inasmuch
as it is not sufficiently large to admit of it; and which opening,
small as it is, may be filled or closed up by the soft cellular tissue
below, which rises into it, and forms a barrier to the discharge of any
matter which may be secreted beneath. If the instrument should have
passed into a muscle, it is evident that if that muscle were in a state
of contraction at the moment of injury, the punctured part must be
removed to a certain distance from the direct line of the wound when in
a state of relaxation, and vice versa. The matter, secreted, and more
or less in almost every instance will be secreted, cannot in either
case make its escape, and all the symptoms occur of a spontaneous
abscess deeply seated below a fascia. That inflammation should spread
in a continuous texture is not uncommon; that matter, when confined,
should give rise to great constitutional disturbance is, if possible,
less so; but that this disturbance takes place without the occurrence
of inflammation, or the formation of matter, may be doubted; and it
may be concluded that there is no peculiarity in punctured wounds that
may not be accounted for in a satisfactory manner. Serious effects have
been attributed to injuries of nerves, but without sufficient reason;
nevertheless, those who have seen locked-jaw follow a very simple
Public-domain text, read in full here on John Shaqi.
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