Transcriber’s Notes
Text _between underscores_ and =between equal signs= represent texts
printed in italics and in bold face, respectively. Small capitals
have been replaced with ALL CAPITALS.
More Transcriber’s Notes may be found at the end of this text.
THE
PRINCIPLES AND PRACTICE
OF
MODERN SURGERY
BY
ROSWELL PARK, A.M., M.D., LL.D. (YALE)
PROFESSOR OF THE PRINCIPLES AND PRACTICE OF SURGERY AND OF CLINICAL
SURGERY IN THE MEDICAL DEPARTMENT OF THE UNIVERSITY OF BUFFALO,
BUFFALO, NEW YORK; MEMBER OF THE GERMAN, ITALIAN AND FRENCH SURGICAL
SOCIETIES; EX-PRESIDENT OF THE AMERICAN SURGICAL ASSOCIATION AND OF
THE MEDICAL SOCIETY OF THE STATE OF NEW YORK; SURGEON TO THE BUFFALO
GENERAL HOSPITAL, ETC.
WITH 722 ENGRAVINGS AND 60 FULL-PAGE PLATES IN COLORS
AND MONOCHROME
[Illustration]
LEA BROTHERS & CO.
PHILADELPHIA AND NEW YORK
1907
Entered according to Act of Congress, in the year 1907, by
LEA BROTHERS & CO.
in the Office of the Librarian of Congress. All rights reserved.
PREFACE.
A new work on Surgery enters a field of literature already rich in
excellent books differing widely in plan and viewpoint. Fortunately
nothing else is possible in representing so vast a subject, for it
is obviously advantageous that the reader should have the benefit of
the personal equation of his author as reflected in his knowledge,
experience, and assimilation from the writings of others. When Surgery
can be represented by a conventional and well-settled type of book it
will have ceased to advance. There is still room for many a serious
effort to place the subject before students and practitioners in
a way to instruct from the beginning through to the operative and
postoperative treatment. This has been the object of the present
volume, upon which the author has brought to bear the experience
of many years as a teacher and surgeon, and into which he has also
endeavored to infuse the most advanced knowledge gleaned from the
surgical literature of America and Europe.
To the extent of the author’s ability the work therefore represents the
_net_ Surgery of to-day, obsolete and obsolescent material having been
excluded, and the pages being devoted to sound principles and practice,
stated as clearly and succinctly as possible. The author has been free
to employ illustrations wherever a point could be so explained to the
eye. In the pictorial department utility and effectiveness have been
considered of more importance than extreme and unusual cases. Simple
drawings and even diagrams are often most instructive, and such have
been accordingly liberally used.
With every effort at conciseness it has not been practicable to cover
the subject in less than the equivalent of about fifteen hundred
ordinary octavo pages. By adopting a larger form the publishers have
presented this material in a convenient volume. In justification of
the size of the work it should be borne in mind that its scope is
very extensive, for it aims to cover the Principles as well as the
Practice of Surgery, thus supplying the needs of students and general
practitioners, and, the author hopes, also interesting his surgical
confrères.
He takes this opportunity to extend his warmest acknowledgments to his
fellow-collaborators of the _Treatise on Surgery by American Authors_,
who on the exhaustion of the third edition most kindly consented
to allow it to be succeeded by this individual work, placing their
material and illustrations freely at his command. He also wishes to
acknowledge the kindness of Dr. H. R. Gaylord, who has contributed
certain material utilized in the chapter on Tumors, the assistance of
Dr. E. R. McGuire, who has helped in many ways during the preparation
of the book, and that of other colleagues who have furnished
illustrations that are duly credited in their proper places.
R. P.
BUFFALO, N. Y.
1907.
CONTENTS.
PAGE
INTRODUCTION 17
PART I.
SURGICAL PATHOLOGY.
CHAPTER I.
HYPEREMIA: ITS CONSEQUENCES AND TREATMENT 19
CHAPTER II.
SURGICAL PATHOLOGY OF THE BLOOD 28
CHAPTER III.
INFLAMMATION 43
CHAPTER IV.
ULCER AND ULCERATION 65
CHAPTER V.
GANGRENE 73
PART II.
SURGICAL DISEASES.
CHAPTER VI.
AUTO-INFECTION, ESPECIALLY IN SURGICAL PATIENTS 79
CHAPTER VII.
THE SURGICAL FEVERS AND SEPTIC INFECTIONS 85
CHAPTER VIII.
SURGICAL DISEASES COMMON TO MAN AND DOMESTIC ANIMALS 97
CHAPTER IX.
SURGICAL DISEASES COMMON TO MAN AND DOMESTIC ANIMALS (CONTINUED) 111
CHAPTER X.
SYPHILIS. 122
CHAPTER XI.
CHANCROID OR VENEREAL ULCER 144
CHAPTER XII.
GONORRHEA 146
CHAPTER XIII.
SCURVY AND RICKETS 160
CHAPTER XIV.
THE STATUS LYMPHATICUS 163
CHAPTER XV.
SURGICAL ASPECTS AND SEQUELS OF OTHER INFECTIONS AND DISEASES 166
CHAPTER XVI.
POISONING BY ANIMALS AND PLANTS 171
CHAPTER XVII.
ACUTE INTOXICATIONS, INCLUDING DELIRIUM TREMENS 174
PART III.
SURGICAL PRINCIPLES, METHODS AND MINOR PROCEDURES.
CHAPTER XVIII.
DISTURBANCES OF BLOOD-PRESSURE; SHOCK AND COLLAPSE 177
CHAPTER XIX.
ABSTRACTION OF BLOOD; COUNTERIRRITATION; PARACENTESIS;
TRANSFUSION; CATHETERIZATION; SKIN GRAFTING; BANDAGING 182
CHAPTER XX.
ANESTHESIA AND ANESTHETICS, GENERAL AND LOCAL 192
PART IV.
INJURY AND REPAIR.
CHAPTER XXI.
WOUNDS AND THEIR REPAIR 211
CHAPTER XXII.
GUNSHOT WOUNDS 220
CHAPTER XXIII.
PREVENTION AND CONTROL OF HEMORRHAGES; SUTURES; KNOTS 234
CHAPTER XXIV.
ASEPSIS AND ANTISEPSIS; TREATMENT OF WOUNDS 243
CHAPTER XXV.
PREPARATION OF PATIENTS FOR OPERATION AND THEIR AFTER-TREATMENT 250
PART V.
SURGICAL AFFECTIONS OF THE TISSUES AND TISSUE SYSTEMS.
CHAPTER XXVI.
CYSTS AND TUMORS 255
CHAPTER XXVII.
THE SKIN 299
CHAPTER XXVIII.
SURGICAL DISEASES OF THE FASCIÆ; APONEUROSES; TENDONS AND TENDON
SHEATHS; MUSCLES AND BURSÆ 319
CHAPTER XXIX.
SURGICAL DISEASES OF THE HEART AND VASCULAR SYSTEM 334
CHAPTER XXX.
INJURIES AND DISEASES OF THE LYMPH VESSELS AND NODES 368
CHAPTER XXXI.
SURGICAL DISEASES OF THE JOINTS AND JOINT STRUCTURES 379
CHAPTER XXXII.
SURGICAL DISEASES OF THE OSSEOUS SYSTEM 416
CHAPTER XXXIII.
DEFORMITIES DUE TO CONGENITAL DEFECTS OR ACQUIRED DISEASES OF THE
LOCOMOTOR APPARATUS; ORTHOPEDICS 444
CHAPTER XXXIV.
FRACTURES 479
CHAPTER XXXV.
DISLOCATIONS 524
PART VI.
SPECIAL OR REGIONAL SURGERY.