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. — John Shaqi
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
32. When a nerve or plexus of nerves conveying sensation and motion,
and going to a part, or an extremity of the body, is divided, the part
or limb is deprived of three great qualities: motion, sensation, and
the power of resisting with effect the application of a degree of heat
or of cold, which is innocuous when applied in a similar manner to the
opposite or sound extremity. In other words, it will be scalded by hot
water and frost-bitten by iced or even cold water, which are harmless
when applied to another and a healthy part.
An officer received, at the battle of Salamanca, two balls, one under
the left clavicle, which was supposed to have divided the brachial
plexus of nerves, as the arm dropped motionless and without sensation
to the side. The other ball passed through the knee-joint, which
suppurated. The left side of the chest became affected; he suffered
from severe cough, followed by hectic fever, and was evidently about
to sink. As a last chance, I amputated his leg above the knee, after
which he slowly recovered. Fourteen years afterward he showed me his
arm in the same state, and told me he had been indicted for a rape, but
that the magistrates, seeing the wooden leg and the useless arm, while
admitting the attempt, would not assent to the committal of the offence.
33. When one nerve only of several going to an extremity such as the
arm and hand, is divided, the loss sustained is confined to the extreme
part more immediately supplied by the injured nerve. Thus, if the ulnar
nerve only be divided, the little finger and the adjacent side of the
ring finger suffer, perhaps in some degree the inner side of the thumb
and the adjoining fingers; if the median nerve, the thumb and other
fingers; if the radial, the back of the hand next the thumb. In some
instances there seems to be a kind of collateral communication by which
a degree of sensibility is after a time recovered.
34. If any foreign substance should lodge in and continue to irritate
the nerve, the wounded part often becomes so extremely painful as not
to be borne; the nerve at that part forms a tumor of a most painful
character, requiring removal, or in extreme cases even the amputation
of the extremity.
35. After an ordinary amputation, the extremity of a nerve enlarges so
as to resemble a leek, and if this should adhere to the cicatrix of
the wound, painful symptoms, referred to the toes and other parts of
the removed leg, are experienced often to an almost unbearable degree;
the end of the nerve should be removed. The pain apparently felt in
and referred to the toes is merely the effect of irritation of the
extremity of the nerve.
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