54
REPORT ON THE CALCUTTA MEDICAL INSTITUTIONS.
NATURE OF THE OPERATION. | Age. | Number of Disease. | Disease or Injury. | Remained. | Performed. | Total. | Cured. | Relieved. | Unrelieved. | Died. | Remaining. | Fatal Complications. | REMARKS. | |
AMPUTATIONS—(continued.) | ||||||||||||||
Secondary of the thigh | 50* | 1,127 | Comp. com. fracture of tibia, simp. frac. fibula | ... | 1 | 1 | ... | ... | ... | 1 | ... | Hæmorrhage exhaust. (No P. M.) | ||
at the knee | 25* | 1,127 | " " " " " | ... | 1 | 1 | ... | ... | ... | 1 | ... | Sloughing, septicæmia, enlarge- ment of liver and spleen. |
Performed on account of gangrene. | |
" " " | 35* | 1,127 | Comp. frac. inner ankle, simp. frac. fibula | ... | 1 | 1 | ... | ... | ... | 1 | ... | Exhaustion, bed-sores | Do. do. do. | |
of part of foot | 22* | 1,117 | Cont. wound, gangrene, tetanus | ... | 1 | 1 | ... | ... | ... | 1 | ... | Tetanus | ||
For disease of shoulder-joint | 25* | 765b | Myeloid tumour of ulna | ... | 1 | 1 | ... | ... | ... | 1 | ... | Pyæmia, previous amputation | Amputation first at elbow, after- wards end of humerus removed, finally amputation at shoulder. |
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" of forearm | 50 | 866 | Gangrene of hand after fever | ... | 1 | 1 | 1 | ... | ... | ... | ... | |||
" " | 50 | 26 | Malignant pustule | ... | 1 | 1 | ... | ... | ... | ... | 1 | |||
" of part of hand | 65* | 771 | Abscess of phalangeal articulation | ... | 1 | 1 | ... | ... | ... | 1 | ... | Diffuse suppuration, exhaustion | ||
" of fingers | 22 | 864 | Onychia and ankylosis | ... | 1 | 1 | 1 | ... | ... | ... | ... | |||
" " | 29 | ...... | Badly united fracture | ... | 1 | 1 | 1 | ... | ... | ... | ... | |||
" of hip-joint | 40* | 44b | Medullary cancer of femur and knee | ... | 1 | 1 | ... | ... | ... | 1 | ... | Shock | Death 12 hours after operation. | |
" of thigh | 30* | 44b | " " " popliteal space | ... | 1 | 1 | ... | ... | ... | 1 | ... | Cancerous infiltration | ||
" | 11* | 759 | Caries of femur and head of tibia | ... | 1 | 1 | ... | ... | ... | 1 | ... | Suppuration, necrosis, hectic | ||
" | 25 | 253 | Traumatic aneurism of popliteal space | ... | 1 | 1 | 1 | ... | ... | ... | ... | |||
" of the leg | 45 | 44c | Epithelial cancer of leg | ... | 1 | 1 | 1 | ... | ... | ... | ... | |||
" " | 25 | 893 | Mycetoma (madura foot) | ... | 1 | 1 | ... | ... | ... | ... | 1 | |||
" " | ...... | 795 | Gangrene | 1 | ... | 1 | 1 | ... | ... | ... | ... | |||
" at ankle-joint | 28,50 | 42 | Chronic osteo-arthritis | ... | 2 | 2 | 2 | ... | ... | ... | ... | |||
" of penis | 50 | 44c | Epithelioma | ... | 1 | 1 | 1 | ... | ... | ... | ... | By ecraseur. | ||
REMOVAL OF TUMOURS. | ||||||||||||||
A. Malignant | ...... | 44a | Scirrhus | 1 | ... | 1 | 1 | ... | ... | ... | ... | |||
(knife) | 40,40,35 | 44c | Epithelioma | ... | 4 | 4 | 2 | 1 | ... | ... | 1 | Gluteal region 2, leg 1, foot 1. | ||
( " ) | 30 | 44b | Medullary cancer | ... | 1 | 1 | 1 | ... | ... | ... | ... | Mamma—knife. | ||
( " ) B. Non-malignant | 43 | 824 | Fibrous tumour | ... | 1 | 1 | 1 | ... | ... | ... | ... | Thigh. | ||
( " ) " " | 60* | 360 | Myeloid tumour | ... | 1 | 1 | ... | ... | ... | 1 | ... | Pyæmia, metastatic abscess in liver | Lower jaw, which was partly re- moved. |
|
( " ) " " | 50 | 824 | Fatty tumour | ... | 1 | 1 | 1 | ... | ... | ... | ... | Head. | ||
( " ) " " | 20 | 824 | Enchondroma | ... | 1 | 1 | 1 | ... | ... | ... | ... | Sub-maxillary region. | ||
( " ) " " | 22, 24 | 824 | Sebaceous tumour | ... | 2 | 2 | 1 | ... | ... | ... | 1 | Head 1, leg 1. | ||
(scissors) " " | 28 | 606 | Warts | ... | 1 | 1 | 1 | ... | ... | ... | ... | Prepuce. | ||
(knife) " " | 20 | 496 | Condyloma | ... | 1 | 1 | 1 | ... | ... | ... | ... | Perineum and anus. | ||
( " ) " " | 21, 27, 26 | 441 | Glandular tumour | ... | 3 | 3 | 2 | ... | ... | ... | 1 | |||
( " ) " " | 30, 35 | 824 | Serous cystic tumour | ... | 2 | 2 | 2 | ... | ... | ... | ... | Neck 1, head 1. | ||
( " ) " " | 23 | 824 | Dermoid cyst | ... | 1 | 1 | 1 | ... | ... | ... | ... | Head. | ||
† | 610 | Elephantiasis of scrotum | 12 | 43 | 55 | 39 | 1* | ... | 8 | 7 | Exhaustion 3, pneumonia 2, shock 1, tetanus 1, fatty heart and abs- cess of liver 1. |
*Partial recurrence. | ||
25, 25 30 | 685 | Elephantiasis of labia and clitoris | ... | 3 | 3 | 2 | ... | ... | ... | 1 | ||||
REMOVAL OF CALCULI. | Lateral operation in all. | |||||||||||||
by lithotomy | 8,31,40 49, 50 | 570 | Vesical caculus | ... | 5 | 5 | 5 | ... | ... | ... | ... | |||
" lithotrity | 48 | ...... | " " | ... | 1 | 1 | 1 | ... | ... | ... | ... | |||
INCISIONS. | ||||||||||||||
Tracheotomy | 28* | 293 b | Chronic laryngitis | ... | 1 | 1 | ... | ... | ... | 1 | ... | Thoracic tumour | ||
For hernia, opening sac | 50, 60 | 480 e b | Strangulated inguinal hernia | ... | 2 | 2 | 1 | ... | ... | 1 | ... | Exhaustion | ||
" " without " " | 30, 40 | ...... | " " " | ... | 2 | 2 | 1 | ... | ... | 1 | ... | Sloughing of scrotum cholæmia | ||
" " radical cure | 24, 26, 46 | 480 a b | Reducible " " | ... | 3 | 3 | 2 | ... | 1* | ... | ... | Plug operation:1, Wood's 1, Fay- rer's 1*. |
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" fistula in ano | 17, 30, 45 | 490 | Fistula in ano | ... | 3 | 3 | 2 | 1* | ... | ... | ... | Complicated with hæmorrhoids and ulcers. |