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Description:
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Three figures showing the operation of amputation of the thigh. Figure 1 and 2 show different stages in the operation, and show the thigh of the patient with a tourniquet in place to limit blood flow, and the hands of the surgeons' assistant. Figure 3 is a line drawing shown on a scroll used to show the best position for the patients leg when sawing the bone. The author uses the operation on the thigh to give instruction and principles for amputation. The text gives advice on how to get the best results from amputation, and instruction to the surgeons' assistant on what equipment and instruments should be available, and how to prepare the place of operation and the patient. Figure 1 is used to illustrate the operation after the tourniquet has been attached and the first incision made, following the instructions given. Figure 2 shows the surgeons assistant using a cloth to pull the skin up the bone after the second incision has been made. The text gives instructions for this, and for the sawing of the bone, which the author says should be carried out with the thigh pointing upwards to avoid splinters when the leg comes away, and to leave less bone exposed. Instruction is also given on how to tie off the arteries and veins with ligatures, what to do with nerves, and how to dress the wound after the operation. The rest of the chapter deals with specific types of amputation, and the rest of the volume contains instruction and images for operations on hernia, trephining (trepanning), aneurism (or aneurysm) and lithotomy.
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