Use of chloroform in the Crimea; case of Martin Kennedy; amputation of
finger; death following the exhibition of chloroform. Mr. Hannan’s case
of double amputation without chloroform. Effects of chloroform in cases
of amputation at the hip-joint or at the upper third of the thigh; the
operations not successful. Deputy Inspector-General Taylor on the want
of success attending operations on the lower extremities in the Crimea,
and its causes; his opinion corroborated by Deputy Inspector-General
Alexander. Use of chloroform in the Light Division; Alexander’s
statistics of operations in the Light Division. Five cases of excision
of the head, neck, and trochanter of the femur; four unsuccessful;
the third, Mr. O’Leary’s, doing well at date of report. Staff-Surgeon
Crerar’s case; extensive comminuted fracture of neck, trochanter, and
shaft of the femur, by a fragment of an exploded grenade; excision of
head, neck, trochanter, and part of shaft of the bone; death on the
fifteenth day; P.M.:--the muscles infiltrated with pus; no attempt to
repair the loss; Dr. Hyde’s case; comminuted fracture of neck of and
bone of great trochanter by a grape-shot, during the attack on the
Great Redan, on the 8th of September; operation the day after; death
on the sixth day. Dr. M’Andrew’s cases of excision of the head of the
humerus; attended with success. Dr. Gordon’s case of fatal wound of
the larynx and pharynx, with fracture of the thyroid cartilage; Deputy
Inspector-General Taylor’s comments on this case; Surgeon De Lisle’s
cases of wounds of the profunda femoris and popliteal arteries; case
of loss of the right leg below the knee by a round shot; Dr. Burgess’s
case, showing the effects of strychnia in injury of the spine and
spinal cord. Dr. Rooke’s case of severe and extensive injury to the
right hand and forearm, and the right side of the abdomen, (the bowels
being exposed by the destruction of skin, muscles, and peritoneum,)
with comminuted fractures of the ilium and neck and trochanter of the
femur; recovery at the end of three months. Mr. Lyons’s fatal case of
gunshot fracture of the left femur. Dr. Milroy’s, Mr. Atkinson’s, and
Dr. Scott’s cases of excision of the elbow-joint; Mr. Atkinson’s case
of round shot fracture of the superior maxillary and the malar bones;
recovery. Mr. De Lisle’s case of musket-shot wound of the right temple;
the supra-orbitar ridge broken off. Mr. Ward’s, Mr. Wall’s, and Mr.
Longmore’s cases of gunshot fracture of the cranium, with or without
injury to the brain. pp. 561-586