general medicine book

pT>ATr: I m ^y Al.V/hitlTiyt Microscopic section of a "strawberry" sail-bladder showsubepithelial cells filled with a lipoid siib.stame (MacCarty) ing Stained with Sudan ^ TOEGNxO The Practical Medicine Series COMPRISING EIGHT VOLUMES ON THE YEAR'S PROGRESS IN MEDICINE Under the CHARLES AND SURGE RV General Editorial Charge of L MIX, A, M., M D Professor of Physical Diagnosis in the Northwestern University Medical School Volume II General Surgery EDITED BY ALBERT M D., F R M J S., OCHSNER LL D F A C S Major, M.R.C., U S Army Surgeon-in-Chief Augustana and Si Mary's of Nazareth Hospitals; Professor of Surgery in the Medical Department of the State University of Illinois SERIES 1920 CHICAGO THE YEAR BOOK PUBLISHERS 304 South Dearborn Street COPYRIGHT 1920 BY THE YEAR BOOK PUBLISHERS KO fd'7 INTRODUCTION Once more we wish to place before the surgical profession in as concise and usable a form as we can a review of what is contained in the year 's surgical literature There being less of war surgery and more of that which the active surgeon can use from day to day than was contained in the last volume Our foreign literature has not regained the proportion it occupied before the war Nothing has occurred of revolutionary importance, but much has been gained in observations and experience which will undoubtedly be of much value in the actual practice of men who are progressive in their surgical work Local anesthesia seems to have gained considerably since the more treacherous remedies have been replaced by novocain and its various equivalents The importance of eliminating trauma to the greatest possible extent seems to be more fully appreciated in _ connection with all extensive operations than at any time in the past I wish to thank my friends in the surgical profession for the many words of appreciation of our previous efforts, and hope that they may find the present Year Book of value in their practice A J INDEX 614 abdominal, Reflexes, surgical value of, 334 Regnault, J., early diagnosis of cancer by electrotonus, 151 Resection of bowel, double, operations, 425 successful simple exclusion during resection, 422 Retractor, cofferdam intestinal, 422 self -retaining for bonework, 177; use of hairpins ; for, 40 Richards, C G., secondary melanoepithelioma of bladder, 548 SaintBrodin and Riehet, Girons, injections of artificial scrum in hemorrhage, 172 Richter, H M., treatment of perforated gastroduodenal ultechnic of gallcers, 408; bladder and common d surgery, 507 Risley, E H., technic for irreducible hernia of bladder, 546; 2-stage operation for strangulated femoral hernia, 487 gesias, 28 Rosenheek, C, varicose veins for intravenous injections, 71 Rosenstirn, J., myositis ossificans, 121 Ross, G G., ruptures of liver, 504 Roubertis and Nemirovski, new fluorescent screen, 33 Routh, L M., effect of anesthetics in tropics, 10 Rovsing, Th., diagnosis and treatment of renal calculi, 538 H Royster, A., barrel-stave fractured clavicle, splint for 558 A W., frequency of hernia, 476 Rupture, of appendix at 10 months, 458; of cystic kidney, 531 of normal spleen, cases of, 525; of rectus abdominis following influenza, of symphyisis pubis, 360 cases of, 570; of thoracic subcutaneous of duct, 265 bowel, 432 Rudisill, ; ; Roberts, D Y., gunshot wound of brain, 244 Roberts, J B., aseptic- and aseptic-segment trephines, 225 fracture of leg with Charcot joints, 589 successful operation for laceration of liver, 503 Robertson's citrate method of transfusion, 170 Robin, E., extraction of foreign bodies controlled by a;-ray, 33 Robson, H., new aspirator, 296 Rocher, M., extraction of cerebral foreign bodies with elec; tromagnet, 250 Rocka fellow, J C, non-union due to syphilis, 194 Rockey, A E., diagnosis of depressed malar fractures, 255 Roger, H., tuberculosis of cranium, 234 Rogers, Krehbiel, sugar tolerance in cancer, 150 Rood, F S., 8,000 spinal anal- J., recurrent gastric ul- cer, 404 Rohdenburg, Bernhard and ; Sachs, E., clamp for osteoplascomcraniotomy, 224; tic pound fractures of skull, 225; 43 laminectomies, 549 Saint, C F M., imperfect obliteration of processus vaginalis, 477; obstruction from mesenteric cyst, 367 Sarcoma in children, 159 of mesentery, 367; ossifying of vastus externus, 582 Sargent and material 208 ; for Greenfield, best nerve sutures, , P., operative indications for intracardiac projec- Scalene, tiles, 329 Scalp, total avulsion of, 222 Scapula, no-splint treatment of fractures of, 557 INDEX stimulation of granulations by, 54 Schiller, H., ruptures of symphysis pubis, 570 Schirmer, A., subcutaneous drainage for ascites, 362 Schley, W S.^ intraperitoneal abscess from fishbone, 356; surgical treatment of cancer Scarlet-red, of maxilla, 254 Schwyzer, A., end-results of stomach surgery, 373 technic of gastroenterostomy, 386 ; Sclerotics, blue, associated witli fragilitas ossium, 177 Sebileau, P., operative treat- ment of lingual cancer, 262 Serum, artificial, injections of in hemorrhage, 172 Sever, J W., end-results of 40 fractures of neck of femur, 574 Sharpe, W., subtemporal decompression, 241 Sharpies, C W., rupture of cystic kidney, 531 Shawan, H K., blood grouping applied to skin grafting, 78 Shock, gum acacia and glucose in, 133; treatment of, 135; wound, 129 extensive Shoulder-girdle, wound 555; removal of with entire arm, 554 Sigmoid, volvulus of with hernia, of, 495 Silk, J F W., method for free airway in modified "open" Simpson, B anesthesia, T., 14; ether, 11 pathology of goiter, 280 Sinuses, persistent, 615 E S., removal of shrapnel from pericardium, 325 tunnels and large cavities in bone, 189 Skull, compound fractures of, 225; diagnosis of acute fractures of, 227; f lata to prevent adhesions after fraeture of, 233 ; fractures of base of, neurologic manifesta227; tions of fractures of, 228; repair of defects of with cartilage, 232 source of error in radiograms of, 223; tuberculosis of, 234 Slesinger, E G., injector for local anesthesia, 21 Sloan, E P., 1,000 operations for goiter, 288 Sloan, H G., recurrence of goiter, 289 Smith, C, auto inner tubes for bandages, 36; for use in empyema, 321; blowing exercises in empyema, 321 Smith, E C, large vesical calculus, 547 Smith, M K., open amputation through knee, 584 Smith, M T., injuries of knee, 587 Smith, R E., fracture of vertebral lamina, 551 Smithies, F., heart lesions with cholecystitis, 514 subcutaneous Soderlund, G., rupture of bowel, 432 Sole plate traction for leg injuries, 591 Soresi, A., earboUc for local double-eyed anesthesia, 19 aneurism needle, 37; hairpins for retractors, 40; increasing holding power of adhesive, 77; safety in intestinal anastomosis, 423 Spinal analgesia in surgery of upper abdomen, 339 Spinal cord, 17; laminectomies for tumors of, 553; suitable operation cases for 551 treatment of bladder in gunshot wounds of, 552 Skirving, ; ; ; treatment of, 55 Sistrunk, W E., permanent colostomy, 428 Skin, grafting of under local anesthesia, 77; grafts, immunized, 79; marking of, 70; regeneration of by adhesive, 82 Skinner, H H.^ extensive shell wound of elbow without nerve involvement, 562 INDEX 616 Spleen, fatal hemorrhage from, following laceration in gasinfarct tric operation, 524; of causing internal hemorlaceration of rhage, 523 from gunshot wound of thorax, 304; non-parasitic cyst of, 526; normal, ruptures of, 525 tuberculosis of, with recovery after operation, 525 Splenectomies, for disease, 526; for war wounds, 524 Splint, barrel-stave for fracture of clavicle, 558 extension for fracture of humerus, 559 ; ; ; plaster, in compound fractures, 195; practical, for fracture of patella, 583 molded Sponges, abdominal, extra tag for, 354 Spriggs, E I., x-ray examination of appendix, 460 Stab-wound of heart, successful suture of, 329 Stacy, H S., influence of modern antiseptics, 45 Stanley, E G., rupture of bowel without external lesions, 434 Stanley, L L., spinal analgesia in surgery of upper abdo- men, 339 Stasis, chronic intestinal, 337 Stevens, B F., improvised ice tongs for fractures, 196 sis, F A., empyema recurrences operations, 321 Stevens, J H., fractures of upper humerus, 559 and Barber, gastrin hypermotility, 372 Stiell, W F., spontaneous cure of strangulated hernia, 494 Stoddard, J L., new microbe in gas gangrene, 110 Stomach, acute dilatation of, 381; end-result of operation for carcinoma of, 414, 417; end-results of operations for Stewart end-results in surgery of, 373; extrusion of from gunshot wound of thorax 304; operations for ulforeign body in, cer of, 398 frequency of ulcer of, 379 394 hernia of through stabwound, 379; hour-glass, 409; injury to spleen during operation on followed by fatal hemorrhage, 524; operability of cancer of as determined by x-ray, 415 perforated ulcers of, 406 perforating cancer of, cases of, 415 Polya operation on, 374; polyposis of, 413 recurrent ulcer of, 404; removal of ulcer of with or without gastroenterostomy, 401; 17 cases of phlegmon of, 380; surgical, gas and the surgical motility of, 383; treatment of cancer of, 415; ulcers of in Switzerland, 394 Stoney, R A., treatment of chronic bony fistulse, 184; with treatment "bipp, " 57 Stookey, B., futility of flaps in nerve defects, 211 Stopford, J S B., gunshot ; ; ; ; ; ; ; wound wounds indi- cations for operation in, 450 Stein and Stewart, inflation of abdomen with air for diagno- Stevens, after ulcer of, 403; cervical of nerves, 266 Stowell T E A., use of modi- 56 fied flavine, surgical A Strachauer, S., treatment of traumatic epilepsy, 251 Straub and Milnor, extreme displacement of appendix, 456 Strauss, A A., pyloric closure for ulcer, 418 Strawberry ' gallbladder, fre- ' ' ' quency of, 509 Streptococcal infections at base hospital, 65 of distribution Streptococci, dangerous, 63 Stumps, painful, 96, 98 Sugar, tolerance for in carcinoma, 150 Sugar-lactic acid solution for infected wounds, 62 INDEX Sundberg, 17 H., phlegmonous cases of 380 Suture, cross-buck mattress for of lung peritoneum, 346; for wounds, 303; primary, of craniocerebral wounds, 250 tension, 421 good the Suture-holder, 39 Switzerland, ulcers of stomach and duodenum in, 394 Syme, G A., omentum adherent to perforating gastric ulcer, 371; torsion of omentum, 372 Symmers, D., malignant myomata associated with Meckel's diverticulum, 453 Symonds, C J., solid metal drains for bone fistulae, 183 Symphysis pubis, ruptures of, 570 Syphilis, as cause of non-union, wound retarding of 194; healing by, 123 Syphon, simple for bladder, 541; use of in injuries, 542 Syringe-canula method of transfusion, 167 gastritis, ' ' ' ' Talbot, P., scesses, 15 hepatic ab- 504 margins E H., the "good" tension suture, 421 Thirst, prevention of after abdominal operations, 350 Thomas, H M., Jr., rupture of encapsulated empyema into pleura, 319 Thigpen, Thoracic duct, rupture of, 265 Thorax, contralateral signs in wounds of chest, 301; evolution of surgery of, 294; gunshot wounds of with extrusion of stomach, 304; gunshot wounds of, 299 Thyroid, surgery of, 282; wounds of, 278 Tinley, W E F., extension splint for fracture of humerus, 559 Todd, G M., end-result of op- eration for gastric 414 Tongue, carcinoma of, cancer, in ani- mals, 145; operative treatment of, 262 Torek, F., operative method for inguinal hernia, 481 Tracheotomy, bloodless technic 274 for, apparatus for Robertson 's citrate method, in hemorrhage, 170; 172; Transfusion, Tamisiea, J A., extractor for varicose veins, 164 Taylor, G., successful double resections of bowel, 425 Taylor, J., operative treatment of gastric ulcer, 400 Tendons, prevention of adhesion after suture of, 74 Tennant, C E., eversion of tissue 617 in wound ap- proximation, 72 "Tensor," the, 44 Temporal muscle, ankylosis jaw due to fixation of, 255 of Tetanus, delayed, 140; statistics of, 135 Thermos bottle, for storage of Dakin's solution, 47 Thevenot, L., treatment of war wounds of kidney, 530 Thigh, amputation of for gangrene from arteriosclerosis, 580 method of coating tulaes for with paraffin, 171; new apparatus for, syringe165 canula method of, 167; 300 cases with citrate method, 172 Trans-rectus incision for upper abdomen, 343 Treatment, no-splint, of fractures of upper extremity, 557; of acute gastromesenteric ileus, 440; of bladder in gunshot wounds of cord, 552; of bony fistula, 184; of Colles' fracture, points in, of foreign bodies in 565 bowel, 437; of fractures of radius and ulna, 564; of goiter with arrays, 290; of hernial sac, 491 of osteomyelitis with vaccines, 183; of ; ; ; INDEX 618 peptic ulcer, bv gastroenter- ostomy, 384; of peritonitis, 365 J of renal and ureteral stones, 535 of pulmonary hydatid cysts, 311; of shock, 135 of war •wounds of joints, 202; of war wounds of kidney, 530; of wound shock, successful of pylephle133 bitis with eusol intravenously, surgical, of acute em462 pyema, 315; surgical, of bleeding gastroduodenal ulcers, 398 surgical, of cancer of maxilla, 259; surgical, of cancer of tongue, 262; surgical, of gastric cancer, 415; ; ; ; ; ; surgical, gastric ulcer, of surgical, of goiter, 282 ; ; surgical, of hour-glass stomach, 411; surgical, of traumatic epilepsy, 251 ; x-ray of cancer, 155 Trendelenburg anesthesia in pelvic surgery, 340 Trephines, aseptic- and aseptic- 400 segment, 225 Trick, H R., dynamics of abdominal hernias, 477 Tuberculosis, association of with carcinoma, 147 ; of cranium, 234; of kidney, a;-ray examinations in, 533; of pubis, 571; of spleen, recovery after operation, 525 Tuberculous cer\-ical adenitis, 269; in elderly, 270 Tumors, biopsy of, 152; diagnostic incision of, 152; transplantable, mesodermal derivatives as immunizers in, 158 xanthic extraperiosteal, with foreign body-giant cells, 127 Turner, A J., scarlet-red for stimulating granulations, 54; treatment of persistent sinuses, 55 Tyler, G P., Jr., Matas' operation for popliteal aneurism, 590 Tymms, A S M., incisions of abdomen, 342; position of appendix in 57 operations, 456 Typhoid, lesions of bone due "to, 176 Typhus, surgical complications of, 118 Ulcer, bleeding gastroduodenal, surgical treatment in, 398; gastroduodenal, end-results of operations for, 403; of stomach and duodenum, frequency of, 394; of stomach duodenum in Switzerland, 394; of stomach, operations for, 398; of stomach, operative treatment of, 400; of stomach, removal of with or without gastroenterpeptic, treatostomy, 401 ment of by gastroenterosand ; tomy, 384; perforated, of stomach and duodenum, 406; perforating of duodenum without symptoms, 406; recurrent of stomach, 404 Ulna, treatment of fractures of, 564 Umbilical hernia, technic for, 490 Urachus, 357 suppurating cyst of, Ureter, and kidney, treatment of stones in, 535; and renal pelvis, dilatation of, 533 treatment of osteomyelitis, with, 183 Vallas, M., operative treatment of lingual cancer, 262 Vaccines, VanCott, J M., intussusception in adult, Vanghetti 444 operation, cation of, 89 's VanHook, W., method 358 problems, 480 roplasty, VanHoosen, ; some modifi- of lapa- hernia B., prevention of following abdominal operations, 350 Vaquez, H., new orientation of cardiac surgery, 326 Varicose veins, brilliant green thirst INDEX marking, 163; extractor for intravenous injections, 71 Varix, aneurismal, transvenous aneurismorrhaphy in, 162 Veins, use of to support nerve sutures, 211 Vellacott, H ¥., acute diverticulitis of colon, 451 Vellacott, P N., treatment of bladder in gunshot wounds of cord, 553 Ventral hernia, technic for, 490 Vertebra, fracture of lamina of, 551 for for, 164; Vertebrae, fractured, diagnosis 549 Viannay, C, extraction of bulof, let from pulmonary artery, 305 Volvulus of sigmoid with hernia, 495 VonEberts, E M., Polya operation, 374 Wallace, H K., joint infections, 588 Walton, A J., cases of spinal cord disease suitable for operation, 551; surgical treatment of hour-glass stomach, 411 Ward W G., suppurating urachal cyst, 357 Warfield, L M., influenzal appendicitis, F., Warner, 464 neuroma in R., early diagnosis of false stump, 99 Warren, 438; cases of phragmatic hernia, 502 rograde intussusception ileus, ; diaret- fol- lowing gastroenterostomy, 393 Waterhouse, R., liquid paraffin for disinfecting needles syringes, 50 and Waters, C H., gunshot wound of chest with extrusion of stomach and spleen, lacerated, 304 Watson, F, C, removal of large angiolipofibroma, 582 619 Weiskotten, H G., anatomic study of 10 fatal burns, 112 Wettstein, A., cases of obstruction 441 Whale, H from Murphy but- ton, L., endothelioma of brain, operation for, 252 White, J N., anatomic incision for groin surgery, 479 White, M., malaria from the surgeon's standpoint, 100 Whiteford, H., suture-holder, 39 Whittemore, W L., delayed tetanus, cases of, 140 Whittingham, H E., wound infections in poor house, 52 Wiener, J., major operations under local anesthesia, 24 Wight, J S., new transfusion apparatus, 165 Wilensky, A O., skull fractures and their neurologic manifestations, 228 Wiley, A R., diagnosis of acute skull fractures, 227 Willis, A M., 50 operations for stone in common d., 515; ruptures of normal spleen, 525 Wilson, G E., repair of cranial defects by cartilage, 232 Wilson, J A., gunshot wounds of brain, 245 Wilson, W J., new microbe for gas gangrene, 111 Winslow, hernia through f of, 498 Winslow, R., removal of 1,290 foreign bodies from stomach, 379 Wise, W D., fragilitas ossium and blue sclerotics, 177 Witte and Schulz, new bone skid, 197 Wood, F C, diagnostic incision of tumors, 152 Woodbery, H S., gonorrheal empyema, 313 Wounds, eversion of margins in approximation of, 72; healing of retarded by syphilis, INDEX 620 123; infections house, 52 of in poor Xanthie extraperiosteal tumors, with foreign body-giant cells, 127 X-TSij examination of appendix by, 460; examination with in renal tuberculosis, 533; extraction of foreign bodies with aid of, 33; operability of stomach as determined by, 415; pictures of skull, source of error in, 223; shot in appendix shown by, 460; treatment of cancer with, 155; treatment of goiter with, 290 Yates, A L., immunized skin grafts, 79 Yates, J L., local and general resistance as guides in treatment of malign affections, 123 Young, F W B., ionization for infections, 60 I J I SERIA RD g Y39 1920 ^ MedicaJ Serials p General svrgery