None
The skin and fascia are then approximated with inter- rupted silkworm-gut sutures. A gauze dressing is then placed over the wound and held in place by a firmly ap- plied abdominal bandage. Blake's Method. — This consists in making a large ellip- tical incision around the hernia and removing the connec- tive tissue so as to expose a large area of the aponeurosis. The sac is excised and the edges are brought together with sutures. The linea alba is next divided to the upper and lower limits of the skin incision. The peritoneum is next separated from the abdominal wall on one side, and the muscular and aponeurotic flap thus formed is drawn to the opposite rectus muscle and secured by the layer of mattress sutures of chromieized catgut. The first layer of sutures unites the free border of the overlapped flap to the over- OPERATION FOR CURE OF UMBILICAL HERNIA. 629 lapping wall by through-and-through sutures, the second layer unites the free borders of the superficial to the deeper Fig. 532. Blake's operation for the radical cure of umbilical hernia. (Brewer.) wall by sutures which do not penetrate the peritoneal cav- ity. The skin wound is finally closed without drainage. INDEX. ABDOMEN, bandage of, many- tailed, 32 Abdominal aorta, ligation of, 469 bandage, 32 nephrectomy, 588 Abscess, acute, treatment of, 259 chronic, treatment of, 260 Hilton's method in, 259 treatment of, 259 tuberculous, aspiration in, 260 incision in, 261 injection in, 261 iodoform emulsion in, 261 puncture in, 261 treatment of, 260 Absorbent cotton, 116 Acetanilid, 354 Acetate of aluminum, 305 Acid, boric, 306 carbolic, 301 picric, dressing in burns, 273 salicylic, 306 Acromion process of scapula, frac- ture of, 370 Actinomyces, 293 Actual cautery, 137 in venous hemorrhage, 253 Acupressure in arterial hemor- rhage, 251 Acute abscess, treatment of, 259 Adductor longus tendon, tenotomy of, 569 Adhesive plaster, 118 Adrenalin chloride in arterial hem- orrhage, 246 Aluminum acetate, 305 Amputating knives, 486 saws, 487 Amputation or Amputations, 481 above shoulder-joint, 509 at ankle-joint, 518 Amputation at ankle-joint, Piro- goff's, 519 Koux's, 520 of arm, 503 circular, 503 by lateral flaps, 504 modified circular, 504 by transfixion, 503 Bier's osteoplastic method, 485 carpo-metacarpal, 499 circular, 481 details of, 491 at elbow, 501 anterior flap, 501 circular, 502 elliptical, 503 lateral flaps, 501 elliptical, 483 of fingers, 494 of foot, 511 Chopart's, 517 Hancock's, 521 Key's, 517 Lisfranc's, 516 Mikulicz's, 521 subastragaloid, 518 Tripier's, 521 of forearm, 500 circular, 500 modified circular, 501 of hand, 494 at hip-joint, 529 by lateral flaps, 532 modified circular, 531 by transfixion, 530 Wyeth's method, 532 instruments for, 486 at knee-joint, 525 anterior flap, 526 Carden's, 526 elliptical flaps, 525 631 632 INDEX. Amputation at knee-joint, Gritti's, 527 lateral flaps, 527 through condyles of femur, 526 of leg, 521 circular, 522 elliptical, 522 flap method, anterior, 522 antero-posterior, 524 external, 525 lateral, 524 rectangular, 524 modified circular, 522 Sedillot's, 525 Teale's, 524 ligatures in, 490 medio-tarsal, 517 of metacarpal bones, 497 metacarpo-phalangeal, 495 of metatarsal bones, 513 modified circular, 483 oval, 483 periosteal flaps in, 486 redressing of, 492 retractors in, 489 at shoulder-joint, 505 Dupuytren's, 507 Larrey's, 506 Lisfranc's, 508 Spence's, 509 Wyeth's pins in, 506 sutures in, 490 tarso-metatarsal, 514 Teale's method in, 484 of thigh, 527 et seq. by anterior flap, 527 modified circular, 527 through the trochanters, 529 by transfixion, 529 of toes, 511 tourniquets in, 490 transfixion method in, 482 at wrist, 499 circular, 499 flap method, 499 lateral flaps, 500 Anaesthesia from chloride of ethvl, 183 from cocaine, 184 from cold, 183 general, 183 Anaesthesia from kelene, 183 local, 182 from rapid respiration, 184 regional, 183 from scopolamine hydrobromate, 205 Anaesthetics, 182 in fracture, 344 Anastomosis forceps, 619 intestinal, 614 Ankle, dislocation of, 444 Ankle-joint, amputation at, 518 excision of, 551 strapping of, 125 Anterior crural nerve, exposure of, 567 figure-of-eight bandage of chest, . ?° tibial artery, ligation of, 476 tendon, tenotomy of, 569 Antipvrin in arterial hemorrhage, 246 Antisepsis, 281 Antiseptic dressings, improvised, 317 operation, details of, 330 poultice, 128 Antitoxin, 288 injection of, 163 Antrum of Hi^hmore, trephining of, 559 Aorta, abdominal, ligation of, 469 Appendicitis, acute, operation for, 593 ' chronic, operation for, 595 incision through rectus muscle, 597 McBurney's operation for, 595 Approximation sutures, 220 Aqua ammonia as a rubefacient, 135 as a vesicant, 137 Aristol, 307 Arm, amputation of, 503 and chest bandage, 68 spiral reversed bandage of, 58 Arterial hemorrhage. See under Hemorrhage, arterial, 2 ' transfusion, 147 Arteriotomv, 146 Artery forceps, 248, 488 INDEX. 633 Artery or Arteries, ligation of, 451. See under each artery, suture of, 250 wounded, ligation of, 252 Arthrectomy of knee-joint, 549 Artificial respiration, 149 direct, 150 Laborde's metbod, 154 Silvester's metbod, 152 Asepsis, 281 agents to secure, 299 from heat, 299 Aseptic dressings, improvised, 317 metbod, 298 operation, details of, 328 materials in, 308 et seq. preparation for, 321 of patient for, 321 of room for, 321 Aspiration, 155 in tuberculous abscess, 260 Aspirator, Potain's, 155 Astragalus, excision of, 552 Auto-transfusion, 147 Axillary artery, ligation of, 462 BACILLUS aerogenes capsulatus, 292 anthracis, 291 coli communis, 290 of malignant oedema, 292 mallei, 290 of tetanus, 292 tubercle, 290 Back, strapping of, 126 Bacteria, 281 cultivation of, 284 elimination of, 286 entrance into tissues, 285 infection by, 286 inoculation by, 284 intoxication by, 286 pathogenic action of, 286 resistance of tissues to, 287 staining of, 284 of suppuration, 289 varieties of, 289 et seq. Bacteriology, surgical, 281 Bandage or Bandages, 17 abdominal, 32 many-tailed, 32 Bandage, arm and chest, 68 Barton's, 42 modified, 42 black muslin, 94 Borsch's, 89 circular, 23 compound, 27 dimensions of, 20 demi-gauntlet, 56 Desault's, 65 elastic webbing, 97 Esmarch's, 243 figure-of-eight, 26, 59 of knee, 79, 81 of leg, 85 of neck and axilla, 63 flannel, 93 of foot, American, 83 French, 84 in fractures, 349 gauntlet, 55 gauze, 90 et seq. Gibson's, 45 handkerchief, 33 hardening, 98 of head, 42 and neck, 50 Liebreich's, 88 of lower extremity, 74 many-tailed, 31 oblique, 23 of head, 53 occipito-facial, 53 occipito-frontal, 54 paraffin, 112 plaster-of-Paris, application of, 100 preparation of, 99 for thigh and pelvis, 101 recurrent, 27 of stump, 87 removal of, 22 roller-, 18 rubber, 94 scissors, 22 of Scultetus, 89 for securing hands and feet, 88 silicate of potassium, 111 of sodium, 111 spica, 26 of buttock, 79 634 INDEX. Bandage, spica, of foot, 81 of groin, ascending, 74 descending, 76 double, 77 of shoulder, ascending, 60 descending, 62 of thumb, 57 spiral, 23 of chest, 70 of finger, 55 reversed, 24 of arm, 58 of leg, 84 of lower extremity, 84 of penis, 87 of upper extremity, 58 starched, 111 sterilized, 317 suspensory and compressor, of breast, 72 of trunk, 70 of upper extremity, 55 varieties of, 23 Velpeau's, 63 Bandaging, rules for, 21 Barton's bandage, 42 modified, 42 Bavarian dressing, 105 Bedsores, 277 Bellocq's canula, 256 Beta-naphthol, 304 Biceps flexor cruris tendon, tenot- omy of, 569 Bichloride cotton, 317 gauze, 316 of mercury, 300 Bier's osteoplastic method in ampu- tation, 485 Binder's board splints, 113, 348 Bis axillary cravat, 36, Black muslin bandage, 94 Bladder, hemorrhage from, treat- ment of, 258 implantation of ureter into, 591 irrigation of, 218 securing catheter in, 216 sterilization of, 323 Blood, transfusion of, 146 Bloodletting, 140 Bone chips, preparation of, 168 forceps, 488 Bone grafting, 167 hyoid, fracture of, 359 malar, fracture of, 355 metacarpal, amputation of, 497 nasal, fracture of, 354 plates, preparation of, 168 Boric acid, 306 Borosalicylic powder, 306 Borsch's eye bandage, 89 Bougies, 213 oesophageal, 158 rectal, 160 sterilization of, 210, 326 Bow-legs, osteotomy for, 556 Brachial artery, ligation of, 465 plexus, exposure of, 565 Breast, excision of, 573 radical, 574 suspensory bandage of, 38 and compressor bandage of, 72 Bruises, 271 Brush-burn, 272 Buried suture, 225 Burns, 272 picric acid dressing in, 273 white lead dressing in, 272 x-ray, 276 Buttock, spica bandage of, 79 Button suture, 229 CANTHAKIDAL collodion, 136 Capillary hemorrhage, treat- ment of, 254 Capsicum as a rubefacient, 135 Carbolic acid, 301 Carbolized gauze, 317 Carden's amputation at knee-joint, 526 Cargile membrane, 619 Carotid artery, common, ligation of, 457 external, ligation of, 459 internal, ligation of, 460 Carpal bones, dislocation of, 435 fracture of, 338 Carpo-metacarpal amputation, 499 Carpus, dislocation of, 435 Cartilages, costal, dislocation of, 421 fracture of, 360 INDEX. 635 Cartilages, semilunar, dislocations of, 444 Catgut, boiled, 310 chromic acid, 312 chromicized, 312 cumol, 311 drainage, 314 dry sterilized, 310 Elsenberg's, 311 formalin, 311 iodine, 312 ligatures, 310 Von Bergmann's, 310 Catheter, female, introduction of, 216 introduction of, 213 male, securing of, in bladder, 216 metallic, 211 flexible, 211 sterilization of, 210, 326 Catheterization, permanent, 216 Cauterization in arterial hemor- rhage, 248 of ureters in female, 216 Cautery, actual, 137 in venous hemorrhage, 253 irons, 138 Celluloid thread, 313 Cigarette drain, 314 Circular amputations, 481 Chain-stitch suture, 226 Chalk and gum splints in fracture, 349 Chest, figure-of-eight bandage of, anterior, 70 spiral bandage of, 70 strapping of, 121 T-bandage of, 31 Chin, four-tailed bandage of, 32 Chloride of ethyl, anaesthesia from, 183 of lime and sodium for sterilizing hands, 325 of sodium, 307 of zinc, 304 Chloroform as a rubefacient, 134 as a vesicant, 137 Cholecystectomy, 602 Cholecystenterostomy, 603 Cholecystotomy, 601 Choledochotomy, 602 Chopart's amputation of foot, 517 Chromic acid catgut, 312 Chromicized catgut, 312 Chronic abscess, treatment of, 260 Circular bandage, 23 enterorraphy, 618 Circumcision, 599 Clavicle, dislocation of, 422 acromial end of, 423 sternal end of, 423 excision of, 544 fracture of, 364 in children, 369 Clinical thermometer, 175 Closed fracture, 341 Clove-hitch knot, 419 Coaptation sutures, 220 Cocaine, 184 Coccyx, dislocation of, 420 excision of, 552 fracture of, 362 Cold, anaesthesia from, 183 in arterial hemorrhage, 246 Cold-water dressings, 131 Colles's fracture of radius, 383 reversed, 387 Colon, operation on, 591 Colostomy, inguinal, 592 lumbar, 591 Maydl's, 592 Comminuted fracture, 341 Common carotid arterv, ligation of, . .457 ' iliac artery, ligation of, 469 ligation of, transperitoneal, 470 Complete dislocation, 416 fracture, 339 Complicated dislocation, 416 treatment of, 448 fracture, 341 Compound bandage, 27 dislocation, 416 treatment of, 448 dorso-bis axillary cravat, 37 fracture, 341, 410 treatment of, 410 et seq. Compresses, 117 in arterial hemorrhage, 240 in fracture, 350 Compression, 174 636 INDEX. Compression, digital, in arterial hemorrhage, 239 in venous hemorrhage, 254 Congenital dislocations, treatment of, 449 Constriction, elastic, in arterial hemorrhage, 241 Continued suture, 225 Contused wounds, treatment of, 268 Contusions, 271 Coracoid process of scapula, fracture of, 370 Coronoid of ulna, fracture of, 381 Corrosive sublimate gauze, 316 Costal cartilages, dislocation of, 421 \ fracture of, 360 Cotton, 116 absorbent, 116 bichloride, 317 gloves, 328 sterilized, 318 Counterirritation, 133 Seguin's method, 137 Crossed bandage of eye, 51 Cumol catgut, 311 Cupping, 141 drv, 141 wet. 142 Cutting pliers, 488 Cystoscope, 171 Czerny suture, 233 DECUBITUS, 277 Deep incisions, 141 sutures iti arterial hemor- rhage, 249 Demi-gauntlet bandage, 56 Desault's bandage, 65 Diffuse suppuration, 262 Digital compression in arterial hemorrhage, 239 Dislocation or Dislocations, 416 of acromial end of clavicle, 423 of ankle, 444 of carpal bones, 435 of carpus, 435 of clavicle, 422 of coccyx, 420 complete, 416 complicated, 416 treatment of, 448 Dislocation, compound, 416 treatment of, 448 congenital, treatment of, 449 of costal cartilages, 421 of elbow, 431 of femur, 437 anomalous, 442 backward, 437 dorsal, 437 downward, 439 forward, 439 and upward, 441 pubic, 441 of fibula, 444 of fingers, 435 habitual, 417 treatment of, 449 of head of humerus, 425 of radius, 433 of hip, 437 of humerus, Koche'r's method in, 429 Mothe's method in, 429 subclavicular, 425 subcoracoid, 425 subglenoid, 425 of hyoid bone, 421 of inferior angle of scapula, 424 of knee, 443 of lower jaw, 420 of metacarpal bones, 435 of metatarsal bones, 446 old, 418,447 reduction of, 447 partial, 416 of patella, 442 pathological, 449 of pelvis, 422 of phalanges of fingers, 435 of toes, 446 recent, 4] 8 of ribs, 421 of scapula, 424 of semilunar cartilages, 444 of shoulder, 425 reduction of, 426 et seq. simple, 416 of sternal end of clavicle, 423 of sternum, 422 subspinous, of humerus, 426 of tarsal bones, 445 IXDEX. 637 Dislocation of toes, 446 treatment of, 418 of upper end of ulna, 433 of vertebrae, 419 of wrist, 434 Dorsal dislocation of femur, 437 Dorsalis pedis artery, ligation of,477 Dorso-axillary cravat, 37 Double ligature, 234 roller-bandage, 20 T-bandage, 30 Drainage, catgut, 314 horsehair, 314 Drainage-tubes, 313 Dressings, antiseptic, improvised, 317 aseptic, improvised, 317 Bavarian, 105 cold-water, 131 fixed, 98 gauze, 316 moist method, 332 plaster-of-Paris, 98 provisional, in fracture, 345 white lead, in burns, 272 of wounds, 265 Dry cupping, 141 method of dressing wounds, 320 sterilized gauze dressings, 318 Dupuytren's amputation at shoul- der-joint, 507 splint, 408 ELASTIC constriction in arte- rial hemorrhage, 241 ligature, 236 gastroenterostomy with, 620 Elastic- webbing bandage, 97 Elbow, amputation at, 501 dislocation of, 431 figure-of-eight bandage of, 59 Elbow-joint, excision of, 541 Electricity, injuries from, 274 treatment of, 275 Electrolysis, 169 Elimination of bacteria, 286 Elliptical method in amputation, 483 Enema, glycerine, 161 nutritious, 161 Enemata, 160 Enterectomy, 613 Enterorraphy, circular, 618 Enterotomy, 612 Epiphyses, separation of, 351 diagnosis of, 353 prognosis of, 353 symptoms of, 352 treatment of, 354 Epiphysis of humerus, upper, sepa- ration of, 372 Epistaxis, treatment of, 255 Erichsen's ligature, 236 Esmarch's bandage, 243 Estlander's operation on ribs, 545 Ethyl chloride, anaesthesia from, 183 Excision or Excisions, 537 of ankle-joint, 551 of astragalus, 552 of breast, 573 of clavicle, 544 of coccyx, 552 of elbow-joint, 541 of hip, anterior, 548 of hip-joint, 547 of interphalangeal joints, 544 of joints, 537 of knee-joint, 549 of lower jaw, 554 of mammary gland, 575 of metacarpophalangeal joints, 544 of os calcis, 552 of patella, 550 of scapula, 546 of shoulder-joint, 540 of testicle, 600 of upper jaw, 553 of wrist-joint, 542 Mynter's method, 543 Exploring-needle, 165 Extensor longus digitorum tendon, tenotomy of, 569 proprius pollicis tendon, tenot omy of, 569 External carotid arterv, ligation of, 459 iliac artery, ligation of, 471 oesophagotorny, 603 popliteal nerve, exposure of, 567 Eye, crossed bandage of, 51 638 INDEX. FACIAL artery, ligation of, 461 nerve, exposure of, 565 Faradization, 170 Feet, sterilization of, 322 Felt splints, 114, 348 Femoral artery, ligation of, 473 hernia, radical cure of, 622 truss for, 209 Femur, dislocation of, 437 anomalous, 442 backward, 437 dorsal, 437 downward, 439 forward and upward, 441 iliac, 437 pubic, 441 thyroid, 439 fracture of, 390 ambulatory treatment in, 398 incomplete, 397 shaft of, 394 in childreu, 397 upper extremity of, 390 osteotomy of, 556 Fermenting poultice, 128 Fibula, dislocations of, 444 fracture of, 407 Pott's fracture of, 407 resection of, 551 Figure-of-eight bandage, 26 of chest, anterior, 70 posterior, 71 of elbow, 59 of knee, 79, 81 of leg, 85 of neck and axilla, 63 Fingers, amputation of, 494 dislocation of, 435 fractures of, 388 spiral bandage of, 55 Fissured fracture, 340 Fixed dressings, 98 Flannel bandage, 93 Flat knot, 223 Flaxseed poultice, 127 Flexible catheters, 211 Flexor longus pollicis tendon, ten- otomy of, 569 Fluoroscope, 178 Fly blister, 136 Fomentations, hot, 128 Foot, amputation of, 51], 514 bandage of, American, 83 French, 84 spica bandage of, 81 Forced respiration, 154 Forceps, anastomosis, 619 artery, 248 bone, 488 haemostatic, 243 Forearm, amputation of, 500 fracture of both bones of, 381 Formaldehyde, 303 Formalin, 303 catgut, 311 Four-tailed bandage of chin, 32 of head, 32 Fracture or Fractures, 339 of acromion process of scapula, 370 anaesthetics in, 344 bandage in, 349 bed, 347 of body of scapula, 390 of bones of leg, 401 ambulatory treatment in, 406 of both bones of forearm, 381 box, 349 of carpal bones, 388 of clavicle, 364 et seq. in children, 369 Sayre's dressing in, 366 temporary dressing in, 365 Velpeau's dressing in, 367 closed, 341 of coccyx, 362 comminuted, 341 complete, 339 complicated, 341 compound, 341, 410 plaster-of- Paris dressing in, 412 treatment of, 410 et seq. compresses in, 350 of condyles of humerus, 375 of coracoid process of scapula, 370 of coronoid process of ulna, 381 of costal cartilages, 360 cradle, 350 deformity in, 343 dressing of, 354 INDEX. 639 Fracture, evaporating lotions in, 350 examination of, 343 of femur, 390 ambulatory treatment in. 398 greenstick, 398 of fibula, 407 of lingers, 388 fissured, 340 greenstick, 339 of ulna and radius, 383 gunshot, 340 of head of radius, 381 of humerus, 370 of hyoid bone, 359 impacted, 341 incomplete, 339 of ulna and radius, 383 indented, 340 of inferior maxillary bone, 357 of jaw, 356 of larynx, 359 longitudinal, 342 of lower end of radius, 383 extremity of humerus, 375 jaw, 357 of malar bone, 355 massage in, 351 of metacarpal bones, 388 of metatarsal bones, 409 multiple, 341 of nasal bones, 354 of neck of radius, 381 of scapula, 370 oblique, 341 of olecranon process of ulna, 379 open, 341, 410 partial, 339 of patella, 399 of pelvis, 361 perforating, 340 of phalanges, 388 of toes, 409 plaster-of-Paris splints in, 349 provisional dressings in, 345 punctured, 340 rack, 350 reduction of, 346 1 of ribs, 359 of sacrum, 362 of scapula, 369 Fracture, setting of, 346 of shaft of femur, 394 in children, 397 incomplete, 397 of humerus, 373 silicate of potassium splints in, 349 of sodium splints in, 349 simple, 341 of skull, 363 splints in, 347 starched splints in, 349 of sternum, 360 subperiosteal, 340 of superior maxillary bone, 356 symptoms of, 342 of tarsal bones, 408 of tibia and fibula, 401 of trachea, 359 transverse, 341 of ulna and radius, 381 incomplete, 383 ununited, 414 of upper extremity of femur, 390 of humerus, 370 varieties of, 339 of vertebra?, 362 x-ray examination in, 345 of zygoma, 355 Franklinization, 170 Frontal sinus, trephining of, 561 GALVAXO-CAUTERY, 169 Gastro-duodenostomy, 611 Gastroenterostomy, 612 by elastic ligature, 620 with Murphy button, 621 Gastrostomy, 604 Ssabanajew-F rank's, 605 Witzel's, 607 Gauntlet bandage, 55 Gauze bandages, 90 bichloride, 316 carbolized, 317 corrosive sublimate, 316 dressings, 316 dry sterilized, 318 moist sterilized, 318 pads, 308 pledgets, 308 sterilized, 318 640 INDEX. Gelatin in arterial hemorrhage, 246 General anaesthesia, 183 Gibson's bandage, 45 Gloves, cotton, 328 rubber, 327 silk, 328 Gluteal artery, ligation of, 472 Gluteo-femoral triangle, 39 Gluteo-inguinal cravat, 40 Glycerin enema, 161 tampon, 117 Gonococcus, 290 Granny knot, 223 Greenstick fracture, 339 of femur, 398 of ulna and radius, 383 Gritti's amputation at knee-joint, 527 Groin, spica bandage of, ascending, 74 descending, 76 double, 77 T-bandage of, 29 Gunshot fracture, 340 wounds, treatment of, 270 Gunstock deformity in fracture of condyles of humerus, 376 Gutta-percha splints, 348 HABITUAL dislocation, 417 Haemostatic forceps, 243 Halsted's mattress suture, 232 Hamstring tendons,tenotomy of, 569 Hancock's amputation of foot, 521 Hand or Hands, amputation of, 494 removal of plaster of Paris from, 108 sterilization of, 324 chloride of lime and sodium, 325 Harrington's method, 325 by permanganate of potassium and oxalic acid, 325 Handkerchief bandages, 33 varieties of, 33, 34 Hardening bandages, 98 Hatter's felt splints, 114 Head, bandages of, 42 four-tailed bandage of, 32 and neck bandage, 50 oblique bandage of, 53 Head, recurrent bandage of, 47 transverse, 49 V-bandage of, 49 Heat, asepsis from, 299 Hemorrhage, arterial, acupressure in, 251 adrenalin chloride in, 246 antipyrin in, 246 cauterization in, 248 compresses in, 240 deep sutures in, 249 digital compression in, 239 elastic constriction in, 241 gelatin in, 246 hot water in, 246 ligation in, 249 permanent control of, 245 et seq. plaster tape in, 251 position in, 245 pressure in, 247 styptics in, 246 temporary control of, 239 et seq. torsion in, 248 tourniquets in, 240 capillary, treatment of, 254 parenchymatous, treatment of, 254 from bladder, treatment of, 258 from rectum, treatment of, 258 from urethra, treatment of, 256 secondary, treatment of, 254 treatment of, 238 constitutional, 238 local, 238 venous, actual cautery in, 253 compression in, 254 lateral ligature in, 253 treatment of, 252 et seq. Hernia, femoral, radical cure of, 622 truss for, 209 inguinal, radical cure of, 624 truss for, 208 irreducible, truss for, 210 strangulated, operation for, 621 umbilical, radical cure of, 628 Blake's method of, 628 truss for, 210 Hey's amputation of foot, 517 Hilton's method in opening abscess, 259 INDEX. 641 Hip, dislocation of, 437 Hip- joint, amputation at, 529 et seq. excision of, 547 Horsehair drainage, 314 Hot air, application of, 174 fomentations, 128 water in arterial hemorrhage, 246 as rubefacient, 133 Howard's method of artificial res- piration, 150 Humerus, dislocation of head of, 425 epiphysis of, upper, separation of, 372 excision of, 540 fracture of, 370 of acromion process of, 370 of condyles of, 375 gunstock deformity in, 376 Jones's method in, 377 lower extremity of, 375 shaft of, 373 subclavicular dislocation of, 425 subcoracoid dislocation of, 425 subglenoid dislocation of, 425 subspinous dislocation of, 426 Hydrocele, operations for, 600 Hydrogen peroxide, 305 Hyoid bone, dislocation of, 421 fracture of, 359 Hypodermic injections, 162 of mercury, 164 Hypodermoclysis, 148 TC&BAG, 132 L Iliac arterv, common, ligation of, 469 external, ligation of, 471 internal, ligation of, 470 ligation of, transperito- neal, 471 dislocation of femur, 437 Immediate irrigation, 129 Immunity, 287 Impacted fracture, 341 Implantation of nerves, 563 of ureter into bladder, 591 Incised wounds, treatment of, 265 Incisions, deep, 141 in tuberculous abscess, 261 Incomplete fracture, 339 41 Incomplete fracture of ulnar and radius, 383 Indented fracture, 340 Infected wounds, aseptic treatment of, 335 antiseptic treatment of, 335 Infection by bacteria, 286 Inferior dental nerve, exposure of, 564 maxillary bone, excision of, 554 thyroid artery, ligation of, 457 Inflation, mouth to mouth, 150 Infusion of saline solution, 148 Inguinal colostomy, 592 hernia, radical cure of, 624 truss for, 208 Injection of antitoxin, 163 hypodermic, 162 of mercury, hypodermic, 164 in tuberculous abscess, 261 urethral, 219 Injuries from electricity, 274 Innominate artery, ligation of, 453 Inoculation by bacteria, 284 Instruments for amputation, 486 sterilization of, 326 Internal carotid arterv, ligation of, 460 iliac artery, ligation of, 470 mammary arterv, ligation of, 457 popliteal nerve, exposure of, 567 pudic artery, ligation of, 472 Interosseous artery, ligation of, 469 Interphalangeal joints, excision of, 544 Interrupted plaster-of-Paris dress- ing, 102 suture, 224 Intestinal anastomosis, 614 Abbe's method, 617 end-to-end, Laplace, 619 by forceps, 619 bv Harrington's ring, 620 lateral, 617 by segmented ring, 620 Senn's method, 616 with Murphy button, 615 sutures, 231 Intestine, suture of, circular, 614 Intoxication by bacteria, 286 .< 642 INDEX. Intravenous injection of saline solu- tion, 147 Intubation of larynx, 582 et seq. Iodine catgut, 312 as a rubefacient, 134 Iodoform, 302 collodion, 303 emulsion, 303 in tuberculous abscess, 261 gauze, 316 Irreducible hernia, truss for, 210 Irrigation, 129 of bladder, 218 immediate, 129 mediate, 130 Isinglass plaster, 120 JAW, lower, dislocation of, 420 excision of, 554 fracture of, 357 oblique bandage of, 46 upper, excision of, 553 fracture of, 356 Joints, excision of, 537 et seq. strapping of, 125 Junk bags, 349 KELENE, 183 Kidney, operations on, 588 Knee, dislocation of, 443 figure-of-eight bandage of, 79, 81 Knee-joint amputation at, 525 et seq. ' excision of, 549 arthrectomy of, 549 Knives, amputating, 486 Knock-knee, osteotomy for, 556 Knots for securing sutures and ligatures, 223 Koch's law, 285 Kocher's method in dislocations of humerus, 429 Krause's method of skin-grafting, 167 Kreolin, 305 LABOKDE'S method of artificial respiration, 154 Lacerated wounds, treatment of, 267 Laminectomy, 561 Larrey's amputation at shoulder- joint, 506 Laryngo-tracheotomy, 582 Laryngotomy, 581 Larynx, fracture of, 359 intubation of, 582 et seq. feeding after, 588 operation of, 584 Lateral ligature in venous hemor- rhage, 253 lithotomy, 597 Lavage, 158 Leather splints, 112, 348 Leech, mechanical, 144 Leeching, 143 Leg, amputation of, 521 et seq. figure-of-eight bandage of, 85 fracture of bones of, 401 ambulatory treatment in, 406 spiral reversed bandage of, 84 Lembert's suture, 231 Lengthening of tendons, 572 Liebreich's eye bandage, 88 Ligation or Ligations,451 of abdominal aorta, 469 in arterial hemorrhage, 249 of axillary artery, 462 of brachial artery, 465 of common carotid artery, 457 iliac artery, 469 of external carotid artery, 459 iliac artery, 471 of facial artery, 461 of femoral artery, 473 of gluteal artery, 472 of inferior thyroid artery, 457 of innominate artery, 453 of internal carotid artery, 460 iliac artery, 470 mammary artery, 457 pudic artery, 472 of interosseous artery, 469 of lingual artery, 460 of occipital artery, 461 of radial artery, 465 of sciatic artery, 472 of subclavian artery, 455 of superior thyroid artery, 460 of temporal artery, 461 of ulnar artery, 467 of vertebral artery, 456 ISDEX. 643 Ligation of wounaea arteries. 252 Ligatures in amputations, 49(J catgut. 310 double, 234 elastic, 236 Erichsen's, 236 lateral, 253 quadruple, 235 -touring of, 222 silk, 309 single, with pin, 234 subcutaneous. 235 in vascular growths, 233 Lightning-stroke, 276 Lingual artery, ligation of, 460 nerve, exposure of. 564 Lint, 115 Lisfranc's amputation of foot, 516 of shoulder-joint, 508 Lister's aorta compressor, 242 Lithotomy, 597 lateral, 597 suprapubic, 598 Local anesthesia, 182 Longitudinal fracture, 342 Lower extremity, bandasres of. 74 spiral reversed bandage of, S4 jaw. fracture of. 357 Lumbar colostomy. 591 nephrectomy, 588 McBUEXEY'S hook-. 167 operation in appendicitis, Mackintosh, 315 Malar bone, fracture of. 355 Malignant oedema, bacillu- of, 2V>2 Mammarv artery, internal, ligation of, 4') 7 gland, excision of. 573 radical operation in, 574 Many-tailed bandages, 31 of abdomen, 32 Massage, 173 in fractures, 351 Maxillarvbone, inferior, dislocation of, 420 excision of, 554 fracture of, 357 superior, excision of, 553 fracture of, 356 Mechanical leech, 144 Median nerve, exposure of, 566 Mediate irrigation. 130 Medio-tarsal amputation, 517 Mento-vertico-occipital cravat, 35 modified, 36 Mercury bichloride, 300 hypodermic injection of, 164 Metacarpal bones, amputation of, 497 dislocation of, 435 fracture of, 3SS resection of, 544. 552 Metacarpophalangeal amputation, 495 joints, excision of, 544 Metallic catheters, 211 Metatarsal bones, amputation of, 513 dislocations of, 446 fracture of. 409 Mikulicz's amputation of foot, 521 Modified circular amputation, 4S3 Moist dressing in wounds, 320 sterilized gauze dressings, 318 Moulded plaster splint-. 107 splints, 112 Mouth, sterilization of. 324 Mouth-to-mouth inflation. 150 Multiple fracture. 341 Murphy button. 615 gastroenterostomy with, 621 Muscle-graftincf, 169 Musculo-spiral nerve, exposure of, 566 Muslin, oiled, 116 Mustard papers, 135 plaster, 134 as a rubefacient. 134 NV<AL bones, fracture of. 354 cavities, sterilization of. 324 Neck and axilla, figure-of-eight bandage of, 63 Needle-holder, 222 mounted. 222 surgical. 221 Xephrectomv, abdominal, 588 lumbar, 588 Nephropexy. 589 ZSephrorrhaphy, 589 644 INDEX. Nephrotomy, 588 Nerve or Nerves, anterior crural, exposure of, 567 external popliteal, exposure of, 567 facial, exposure of, 565 grafting, 169, 562 implantation, 563 inferior dental, exposure of, 564 internal popliteal, exposure of, 567 lingual, exposure of, 564 median, exposure of, 566 musculo-spiral, exposure of, 566 operations on, 562 et seq. popliteal, external, exposure of, 567 internal, exposure of, 567 radial, exposure of, 566 sciatic, exposure of, 566 spinal accessory, exposure of, 566 stretching, 562 superior maxillarv, exposure of, 563 supra-orbital, exposure of, 563 suture of, 562 ulnar, exposure of, 566 Neurectasy, 562 Neurectomy, 562 Neuroplasty, 563 Neurorrhaphy, 562 Neurotomy, 562 Nose, T-bandage of, 31 Nutritious enema, 161 Oakum, 115 Oblique bandage, 23 of head, 53 of jaw, 46 fracture, 341 Occipital artery, ligation of, 461 Occipitofacial bandage, 53 Occipito-frontal bandage, 54 triangle, 35 (Esophageal bougie, 158 CEsophagotomy, external, 603 Oiled muslin, 116 silk, 116 Old dislocations, 418, 447 reduction of, 447 Olecranon process of ulna, fracture of, 379 Open fracture, 341, 410 Operating-bag, surgical, 319 Operation or Operations, 451 antiseptic, details of, 330 for appendicitis, 593 aseptic, clothing of surgeon for, 328 details of, 328 material in, 308 et seq. preparation for, 321 of patient for, 321 of room for, 321 on colon, 591 for hernia, 621 et seq. for hydrocele, 600 on kidney, 588 on nerves, 562 on stomach, 604 on tendons, 567 on ureter, 589 for varicocele, 600 Orthoform, 307 Os calcis, excision of, 552 Osteoplastic resection of skull, 559 Osteotomy, 555 for bowlegs, 556 of femur, 556 for knock-knee, 556 of tibia, 556 Oval method in amputation, 483 PADS, gauze, 308 Panelectroscope, 172 Paper-lint, 115 splints, 348 Paquelin's thermo-cautery, 139 Paraffin bandage, 112 paper, 116 Parchment-paper, 117 Parenchymatous hemorrhage, treat- ment of, 254 Partial dislocation, 416 fracture, 339 Passive motion, 173 Pasteboard splints, 113 Patella, dislocations of, 442 excision of, 550 fracture of, 399 Pathogemc action of bacteria, 286 INDEX. 645 Pathological dislocations, 449 Pelvic supporter for application of plaster bandage, 101 Pelvis, dislocation of, 422 fracture of, 361 Penis, spiral reversed bandage of, 87 Perforating fracture, 340 Periosteal flaps in amputation, 486 Periosteotome, 488 Permanganate of potassium, 306 Peroneal tendons, tenotomy of, 569 Peroxide of hydrogen, 305 Petit's tourniquet, 241 Phalanges of lingers, dislocation of, 435 fracture of, 388 of toes, dislocation of, 446 fracture of, 409 Picric acid dressing in burns, 273 PirogofFs amputation at ankle-joint, 519 Plaster, adhesive, 118 isinglass, 120 mustard, 134 resin, 119 rubber adhesive, 119 soap, 120 swansdown, 119 tape in arterial hemorrhage, 251 zinc oxide, adhesive, 119 Plaster-of-Paris bandage, applica- tion of, 100 preparation of, 99 renewal of, 109 saw for, 110 shears for, 110 for thigh and pelvis, 101 trapping of, 107 dressings, 98 application of, 98 in compound fractures, 412 interrupted, 102 jacket, application of, 103 removal of, from hands, 108 splints in fracture, 349 Plasters, 118 Plate suture, 229 Pledgets, gauze, 308 Pliers, cutting, 488 Poisoned wounds, treatment of, 269 Popliteal artery, ligation of, 475 nerve, exposure of, 567 Position in arterial hemorrhage, 245 Posterior figure-of-eight bandage of chest, 71 tibial artery, ligation of, 477 tendon, tenotomy of, 568 Potassium permanganate, 306 and oxalic acid for sterilizing the hands, 325 Pott's fracture of fibula, 407 Poultices, 126 antiseptic, 128 fermenting, 128 flaxseed, 127 soap, 127 starch, 127 Powder-burns. 271 ress 24: Pressure-sores, 277 Primary suture of tendons, 570 Protective, 314 Pubic dislocation of femur, 441 Pudic artery, internal, ligation of, 472 Puncturation, 141 Punctured fracture, 340 wounds, treatment of, 268 Purse-string suture, 232 Pylorectomy, 611 Pyloroplasty, 607 Finney's, 608 Pyrozone, 305 Q UADRUPLE ligature, 235 RADIAL artery, ligation of, 465 nerve, exposure of, 566 Radius, Colles's fracture of, 383 reversed, 387 dislocation of head of, 433 fracture of head of, 381 lower end of, 383 neck of, 381 resection of, 541 Rapid respiration, anaesthesia from, 184 Raw-hide splints, 112 Ray fungus, 293 IXDEX. Recent dislocation, 418 160 tube, 159 Rectum, hemorrhage from, treat- men: : 258 i 32-1 Recurrent band - -' of head, 47 tran- of stumi: . x ~ Redue:: ::ure, 346 Reel knot 223 Regional anaesthesia, 1 B ationsul - .- Removal :: sutures, 230 dan or Resection-. r I ~ of fibula, 551 of homer > '.- of metacarpal bones, 544. 5 52 of radios, 541 of ribs, 54-5 f skull, osteoplastic, 559 : : stern un, " - : : ::bia, 551 of ulna. 541 Resin plaster, 119 Resistance ::' tissues to bacteria, ition, artificial. 149 direct, 150 Laborde's method, 154 Silvester's method. 1 ". forced, 154 rapid, anaesthesia from. 1 x i Retra:: r- 118 in ampuu: : e Reverse ] ..'_-.---:'•. . acre : x~ Ribs -. 421 E -: Ian lei - n on, 545 ::.;■;-- resection of, 545 Roller-bandage. 18 Rontgenrav?. 177 x s amputation at ankle-joint, _ z... Rubber adhesive plaster, 119 bandage, 94 gloves 527 tiss r. 117, 315 sr-dam, 315 Rubefacients, 133 SACRUM, fractore or. - acid 306 Sali::. ana : 148 intravenous injection of. 147 Sand bags. 4 .raputating 48 for removal of pla?ter-of-Paris bandages, 110 Scalds. 272 Scalp, sterilization of, 324 Scapula, dislocation o:. 424 inferior angle : 424 ex asi .... ~: : - fracture t : acromion proc se s body of, o70 coracoid process of. neck of, - " Scarification. 141 Sri Lie artery, ligation of, 4 - nerve, exposure Scopolamine hydrobromatc.. Scultetus ban hge, t Secondarv hemorrhage, treatment :". 254 sutures. 2 _ of tendons. 591 Sedillot" s amputation of leg. r I ' Segregation of urine, 216 Seguin's method of counterirrita- tion. 137 Semilunar cartilaffes, dislocation of, 444 3i ::-membranosos tendon, ten- otomj >1 5* :>tendenosus tendon, tenotomv : "69 Separation of epiphysis, 351 Setting of fracture. -. for removal of plaster-of Paris bandaare. 110 Shock, 262 diagnosis ::'. 1 prophykx:- : 264 treamier:: :: ' '. 4 Shor t Shoulder, dislocation of. -J.': red spica banc ge od lending, 60 descending INDEX. 64" Shoulder-joint, amputation at. 505 above excision of, 540 Signorini's tourniquet, 243 Silicate of potassium bandage, 111 splints in fracture, 34c* - diuru bandage. Ill splints in fracture, 349 Silk glove,. 28 ligatoi - oiled, 116 sue. - Silkworm-gut, 309 Silver foil. 315 sale Silvesier's method of artineial res- piration, 152 Simple dislocation, 4J fracture, 341 Sinapism, 134 Single ligature with pin, 234 roller-bandage, 20 T-bandage. 28 Sinus, frontal, trephining of, 561 Sinuses - - Skiagraphy. 177 Skin-grafting. 165 Krause"s method, 167 Thiersch's method. 166 Skull, fracture or. osteoplastic, resection of, 559 trephining of, 557 Slings. 31 '.aster. 120 poultice. 127 Sodium chloride. Sounds. 213 Spanish windlass. 241 Spence's amputation at shoulder- join*. Spiea bandage. 26 of buttock of foot. SI of groin, ascending. 74 descending, double. 77 of shoulder, ascending, 60 descending Spinal accessor*- nerve, exposure of. 566 Spiral bandage, 23 of chest, 1. of finger, 55 reversed bandage, 24 of lower extremity. 54 of penis. ^7 of upper extremity. .; 8 Splints, binders board, 113, 343 chalk and gum in fracture, 349 Dupuvtren s. 4u^ felt, 114. 348 in fracture, 347 gutta-percha, 348 hatter's felt, 114 leather, 112, 348 moulded, 112 papc- pasteboard, 113 plaster, 1 plaster-of-Paris, in fracture, 349 raw-hide, 112 silicate of potassium, in fracture, 349 of sodium in fracture, 349 starched, 349 V Ikmann's. 405 wooden, 347 Sponge-. - 2^2 Sprain-fracture, 279 strapping of. iT^ »prain' 278 Staffordshire knot. 223 Staphylococcus pvogenes aureus, 28 Starch poultice. 127 splints in fracture. 349 Starched bandage. Ill Sterilization of bladder. 323 of bougies. 21".. of catheters. 210. 326 of feet. 322 of hands. 324 Harrington's method, of instruments. 326 of mouth. 324 of nasal cavities. 324 of rectum. 324 - :alp. 324 of stomach. 323 of urethra. 323 325 648 INDEX. Sterilization of vagina, 323 Sterilized bandages, 317 catgut, 310 water, 307 cotton, 318 gauze, 318 dressings, moist, 318 Sterno-cleido-rnastoid tendon, te- notomy of, 569 Sternum, dislocation of, 422 fracture of, 360 resection of, 546 Stomach, operation upon, 604 sterilization of, 323 Stomach-pump, 158 Stomach-tube, 157 Strains of fascia, 279 of muscles, 279 Strangulated hernia, operation for, 621 Strapping, 120 the ankle-joint, 125 the back, 126 the chest, 121 of joints, 125 the testicle, 120 of ulcere, 122 Streptococcus pyogenes, 290 Stump, recurrent bandage of, 87 Stupe, turpentine, 134 Stvptics in arterial hemorrhage, 246 Subastragaloid amputation of foot, 518 Subclavian arterv, ligation of, 455 Subclavicular dislocation of hu- merus, 425 Subcoracoid dislocation of humerus, 425 Subcutaneous ligature, 235 Subcuticular suture, 226 Subglenoid dislocation of humerus, 425 Subperiosteal fracture, 340 Subspinous dislocation of humerus, 426 Sulphocarbolate of zinc, 305 Superior maxillary bone, excision of, 553 nerve, exposure of, 563 Superior thyroid artery, ligation of, 460 Suppuration, bacteria of, 289 diffuse, 262 Supraorbital nerve, exposure of, 563 Suprapubic lithotomy, 598 Surface thermometer, 177 Surgeon's clothing for operations, 328 knot, 223 Surgical bacteriology, 281 needles, 221 operating bag, 319 Suspensory bandage of breast, 38 and compressor bandage of breasts, 72, 73 Suture or Sutures, 220 in amputations, 490 of approximation, 220 in arterial hemorrhage, 249 of arteries, 250 buried, 225 button, 229 chain-stitch,226 of coaptation, 220 continued, 225 Czernv, 233 deep, 225 interrupted, 224 intestinal, 231 of intestine, circular, 614 Lembert's, 231 mattress, Halsted's, 232 of nerves, 562 plate, 229 purse string, 232 of relaxation, 220 removal of, 230 secondary, 20 securing of, 222 shotted, 229 silk, 309 subcuticular, 226 of tendons, 570 primary, 570 secondary, 571 of veins, 253 Swan's-down plaster, 119 Syme's amputation of ankle-joint, *518 INDEX. 649 TAMPON, 117 glycerin, 117 Tarsal bones, dislocation of, 445 fracture of, 408 Tarso-metatarsal amputations, 514 T-bandage, 28 of chest, 31 double, 30 of groin, 29 of nose, 31 single, 28 Teale's amputation of leg, 524 method in amputation, 484 Temporal artery, ligation of, 461 Tenaculum, 249 Tendo Achillis, tenotomy of, 568 Tendon, adductor longus, tenotomy of, 569 anterior tibial, tenotomy of, 569 biceps flexor cruris, tenotomy of, 569 extensor longus digitorum, tenot- omy of, 569 proprius pollicis, tenotomy of, 569 flexor longus pollicis, tenotomy of, 569 hamstring, tenotomy of, 569 lengthening of, 572 operations on, 567 peroneal, tenotomy of, 569 posterior tibial, tenotomy of, 568 semi-membranosus, tenotomy of, 569 semi-tendinosus, tenotomy of, 569 sterno-cleido-mastoid, tenotomy of, 569 suture of, 570 primary, 570 secondary, 571 transplantation of, 573 Tenotomy, 567 et seq. Tent, 117 Testicle, excision of, 600 strapping of, 120 Tetanus, bacillus of, 292 Thermometer, clinical, 175 surface, 177 Thiersch's method of skin-grafting, 166 Thigh, amputation of, 527 et seq. Thread, celluloid, 313 Thumb, spica bandage of, 57 Thyroid artery, superior, ligation of, 460 inferior, ligation ef, 457 dislocation of femur, 439 Tibia and fibula, fracture of, 401 osteotomy of, 556 resection of, 551 Toes, amputation of, 511 dislocation of, 446 fracture of phalanges of, 409 j Torsion in arterial hemorrhage, 248 Tourniquets, 240 in amputations, 490 Petit's, 241 Signorini's, 243 Toxins, 287 Trachea, fracture of, 359 Tracheotomy, 575 et_ seq. high operation, 579 operation of, 578 tube, 577 Transfixion method in amputations, 482 Transfusion, arterial, 147 of blood, 146 Transperitoneal ligation of common iliac artery, 470 Transplantation of tendons, 573 Transverse fracture, 341 recurrent bandage of head, 49 Trapping plaster-of-Paris bandage, 107 Trephining of antrum of Hislirnore, 559 frontal sinus, 561 skull, 551 Triangular cap of breast, 38 Tripier's amputation of foot, 521 Trunk, bandages of, 70 Truss for femoral hernia, 209 Hood's, 209 for inguinal hernia, 208 for umbilical hernia, 210 worsted, 208 Tubercle bacillus, 290 Tuberculous abscess, incision in, 261 injection in, 261 puncture, 261 650 INDEX. Tuberculous abscess, treatment of, 260 Turpentine as rubefacient, 133 stupe, 134 ULCEUS, strapping of, 122 Ulna, dislocation of upper end of, 433 fracture of coronoid process of, 381 of olecranon process of, 379 and radius, fracture of, 81 3 resection of, 541 Ulnar artery, ligation of, 467 nerve, exposure of, 566 Umbilical hernia, radical cure of, 628 truss for, 210 Ununited fracture, 414 Upper epiphysis of humerus, sepa- ration of, 372 extremity, bandages of, 55 spiral reversed bandage of, 58 jaw, fracture of, 356 Ureter, catheterization of, 216 operations on, 589 implantation of, in bladder, 591 Ureterectomy, 589 Ureterotomy, 589 Uretero-ureterostomy, 590 Urethra, hemorrhage from, treat- ment of, 256 sterilization of, 323 Urethral injections, 219 Urethroscope, 172 Urine, segregation of, 216 TTACCINATION, 161 V Vagina, sterilization of, 323 Varicocele, operation for, 600 Vascular growths, ligatures for, 233 V-bandage of head, 49 Veins, suture of, 253 Velpeau's bandage, 63 Venesection, 144 Venous hemorrhage. See Hemor- rhage, venous. Vertebrae, dislocation of, 419 Vertebrae, fracture of, 362 Vertebral artery, ligation of, 456 Vesicants, 136 Volkmann's splint, 405 WATEK, sterilized, 307 Waxed paper, 116 Wet cupping, 142 White lead dressing in burns. 272 Wood-wool, 116 Wooden splints, 347 Worsted truss, 208 Wounded arteries, ligation of, 252 Wounds, contused, treatment of, 268 dressings of, 265 aseptic, 320 dry method of dressing, 320 drying and chemical sterilization in, 320 gunshot, treatment of, 270 incised, treatment of, 265 infected, antiseptic treatment of, 335 aseptic treatment of, 335 lacerated, treatment of, 267 modified moist dressings in, 321 moist dressing in, 320 poisoned, treatment of, 269 punctured, treatment of, 268 redressing of, 333 Wrist-joint, amputation at, 499 dislocation of, 434 excision of, 542 Mynter's method, 543 Wyeth's method of amputation at hip-joint, 532 pins in amputation at shoulder- joint, 506 X •rays, 177 X-ray examination in fract- ure, 345 burns, 276 ZINC chloride, 304 oxide adhesive plaster, 119 sulphocarbolate, 305 Zygoma, fracture of, 355. 