564 



INDEX TO VOLUME II 



Catgut {continued) : 



example of this in case of fiddle strings, 109. 



conditions required to make it reliable for surgical 

 purposes, no. 



method of preparing, no. 



overprepared by chromic acid, disadvantages of, 

 III. 



prepared with tannic acid, in. 



conditions on which its strength depends, 113. 



how the surgeon may prepare it himself, 114. 



brealdng strain of, when thus prepared, 114; 

 method of testing this, 114 (footnote). 



prepared by new method, experiments as to 

 strength of, 115. 



its behaviour among tissues, 115. 



manner in wliich it is absorbed, 1 1 6. 



action of living tissues on, 117. 



improperly prepared, quickly softened by infil- 

 tration of young growing cells, 117. 



when properly prepared, slowly eroded, 117. 



sulphate of chromium \vith addition of corrosive 

 subUmate for preparation of, 119. 



may be kept a long time in prepared fluid of oil, 

 carbolic acid, and water without spoihng, 270. 



properly prepared less rapidly absorbed than that 

 which has been for a shorter time steeped in 

 prepared fluid, 271. 



should be tested by surgeon before use in ligature 

 of artery in its continuity, 27 1 ; mode of test- 

 ing, 271. 



dift'erent kinds of, 271 {footnote). 



method of preparing for surgical use, 271 {foot- 

 note). 

 Catgut, cluomic : directions for preparation of, 120. 



prepared according to these directions remains 

 antiseptic for indefinite period, 120. 



experiments showing this, 120. 

 Catgut drain. See Drain. 



Catgut infusion : prepared with chromium sulphate 

 t;, - 1 and corrosive subhmate, experiments showing 

 tf'i germicidal property, 121, 122. 

 Catgut, prepared : changes in, 99. 



how it should be used, 100. 



to be placed in i in 20 solution of carbolic acid 

 before operation, 122; suppuration sometimes 

 due to neglect of tliis precaution, 122. 

 Catgut, asepticized : used in a calf, 93. 

 CATGUT LIGATURE, AN ADDRESS ON (188 1), 



lOI. 



Catgut ligature : how made antiseptic, 84, 99, 182. 

 different thicknesses of, 85. 

 how to keep supply ready for use, 85. 

 mode of preparing and rendering antiseptic, 99. 

 its advantages not limited to wounds in wliich 



putrefaction has been avoided, 10 1. 

 does not come away hke sloughs in wounds which 



are the seat of septic suppuration, 10 1. 

 death caused by knots giving way in internal 



wound after Caesarean section, 10 1. 

 abandoned by many surgeons for silk, 102. 

 results not always satisfactory, 102 ; an instance 



of this (Clutton), 102. 

 advantages of, 104, 497, 498. 

 must be specially prepared for surgical use, 104. 

 cases of large arteries tied in their continuity with, 



105, 188. 

 used in tying carotid artery for aneurysm, 105. 

 nine successful cases of ligature of arteries, los. 

 mode of applying, 106. 



Catgut ligature {continued) : 



advantage of division of internal and middle 

 coats of artery in, 106. 



reasons of author's success with, 106. 



long time needed in preparation of, 106 ; disad- 

 vantages of tliis, 106. 



untrustworthiness of insufficiently prepared liga- 

 tures, 107 ; instance of this, 107. 



slipping of insufficiently prepared, 107. 



experiments to devise means of shortening time 

 required for preparation, 107. 



new method of preparing, 112. 



used to tie carotid artery of calf : demonstration 

 of replacement of old tissue by new living 

 tissue, 118. 



conditions to be fulfilled for surgical use, 119. 



must not be too quickly absorbed, no, 119. 



antiseptic, use of in operations, 182. 



testing, 183. 



held in reef knot with ends cut short, a perfect 

 haemostatic, 183. 



in deligation of arteries in their continuity, 188. 



will cause secondary haemorrhage unless putre- 

 faction in wound avoided, 190. 



apphcation of, in operation for irreducible hernia, 

 191 ; two illustrative cases, 191. 



anthrax caused by, 341 (v. Volkmann in /oo^wo^e). 



idea of, suggested by replacement of crust of 

 carbolic acid Unt and blood by Uving tissue, 



365- 



Catgut ligature, antiseptic : use of, in opera- 

 tions, 182. 



testing, 183. 



preparation of, 269. 



importance of water in oily mixture in which it 

 is steeped, 269. 



untrustworthiness of method before described, 

 270. 



right method of preparing, 270. 

 Catgut hgature, aseptic : experiments show to be 

 replaced by ring of living tissue around vessels, 

 190. 



use of, for arrest of haemorrhage from wounded 

 vein, 271 ; illustrative cases, 271, 272, 273, 274. 

 Catgut ligature, cliromicized : apphed to external 

 ihac artery, in. 



found unaltered in granulations two months 

 after operation, in. 



use of, recommended, 1 18. 



directions for preparation of, 120; prepared ac- 

 cording to these directions remains antiseptic 

 for indefinite period, 1 20 ; experiments showing 

 this, 120. 

 Catgut hgatures, unasepticized : tried and found 



unsatisfactory, 92. 

 Catgut, ' organization ' of : does not mean that 

 substance comes to life again, but that old 

 tissue is replaced by new, 118. 

 Catgut sutures : conditions they should fulfil for 



surgical use, 119. 

 Cauterium cultellare (red hot knife) in amputation : 

 recommended by Fabricius Hildanus, 380 

 {and footnote). 

 Cautery : use of, recommended by Celsus for 

 arrest of haemorrhage, 379 {footnote) ; pre- 

 ferred by mediaeval surgeons to ligature for 

 control of haemorrhage in amputations, 380. 

 Cautery, actual : advantages of, in articular disease, 

 2,72,' 



