Chapter I: 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.

CHAPTER XXXVI.
INJURIES AND SURGICAL DISEASES OF THE HEAD 545

CHAPTER XXXVII.
THE ORBIT AND ITS ADNEXA; THE EXTERNAL AUDITORY APPARATUS; THE
ACCESSORY SINUSES; THE CRANIAL AND CERVICAL NERVES; THE ORBITAL
CONTENTS AND ADNEXA 592

CHAPTER XXXVIII.
THE SPINE, THE SPINAL CORD AND THE PERIPHERAL NERVES 621

CHAPTER XXXIX.
THE FACE AND EXTERIOR OF THE NOSE AND MOUTH 638

CHAPTER XL.
THE MOUTH, THE TONGUE, THE TEETH AND THE JAWS 652

CHAPTER XLI.
THE RESPIRATORY PASSAGES PROPER 671

CHAPTER XLII.
THE NECK 698

CHAPTER XLIII.
THE THORAX AND ITS CONTENTS 718

CHAPTER XLIV.
THE BREAST 755

CHAPTER XLV.
THE ABDOMEN AND ABDOMINAL VISCERA 767

CHAPTER XLVI.
THE PERITONEUM AND ITS DISEASES 785

CHAPTER XLVII.
INJURIES AND SURGICAL DISEASES OF THE STOMACH 793

CHAPTER XLVIII.
THE SMALL INTESTINES 822

CHAPTER XLIX.
THE APPENDIX AND ITS DISEASES 851

CHAPTER L.
THE LARGE INTESTINES AND THE RECTUM 869

CHAPTER LI.
HERNIA 890

CHAPTER LII.
THE LIVER 910

CHAPTER LIII.
THE OMENTUM, THE MESENTERY, THE SPLEEN AND THE PANCREAS 934

CHAPTER LIV.
THE KIDNEYS 955

CHAPTER LV.
THE BLADDER AND PROSTATE 977

CHAPTER LVI.
THE MALE GENITAL ORGANS 1004

CHAPTER LVII.
AMPUTATIONS 1023

GENERAL SURGERY.