;84 



INDEX TO VOLUME II 



Silk thread (continued) : 



author's notion that if hgatureis steeped in hquid 

 capable of destroying septic organisms in inter- 

 stices, it would be encapsuled or absorbed, 87. 

 leucocytes may creep between fibres of, and 

 destroy microbes there, 335. 



Silk thread, antisepticized : disintegration and 

 partial absorption of, after hgature of artery, 

 90 ; causing mechanical disturbance in parts 

 in contact therewith, 91. 



Silkworm-gut : in reality unspun silk, 84 {footnote). 



Silver-\\are stitches : in operations for harelip, 245. 



Simon (Heidelberg) : first pointed out importance of 

 'stitches of relaxation', 241 {footnote). 



Simpson, James Young : introduction of chloro- 

 form as substitute for ether in surgery, 492. 

 use of chloroform in confinements, 492. 



Sims, Marion : his success with, silver \v\tc in 

 g\'naecolog>% 534. 



Sinus : after incision of abscess, antiseptic probing 

 of, 36. 



Sinus forceps. See Forceps. 



Sinuses : putrefaction in track requires special anti- 

 septic treatment, 195 {footnote). 



Sinuses in amputations and excisions : injection of 

 chloride of zinc into, 131 {footnote), 214. 

 failure of chloride of zinc owing to antiseptic not 



penetrating into recesses, 251. 

 Volkmann's successful use of sharp spoon before 

 appUcation of antiseptic lotion, 251 ; author's 

 adoption of this plan, 251. 



Sinuses from carious disease of bone : antiseptic 

 treatment of, 214 ; use of boracic ointment in, 

 246. 



Sinuses after excision of wrist : persistence of, 435, 



436, 437- 

 Sinuses, septic: restoration of aseptic conditions in, 



338. 

 value of iodoform in treatment of, 357. 

 Skin of patient : purification of, before operation, 



354- 

 Skin-grafting : boracic acid particularly useful for, 

 230. 

 manner of carrying out, 230, 231, 232, 

 its effects in promoting healing of a sore, 449. 

 a living dressing, 449. 

 Sloughing : in wounds, 2. 



Sloughs, decomposing : cause of local inflamma- 

 tion and febrile disturbance after injuries, 2)7 • 

 disturbance in tissues around, caused by, 48. 

 Small-pox : outbreak of, in Edinburgh, accom- 

 panied by epidemic of erysipelas, 241 {footnote), 

 255. 

 analogy between vaccination against, and pro- 

 tection against fowl cholera by its attenuated 

 virus, 504. 

 extremely rare in Germany, 506. 

 Snake poison : antidotes against (Calmette, Fraser), 



510. 

 Solvent : energy of action of any substance upon 

 tissues depends on tenacity with which it is 

 held by, 498. 

 Sore, open : healing by cicatrization without 

 suppuration or even granulation something 

 new in histor\' of surgery, 153. 

 healing of, under boracic acid dressing, 230. 

 Spence, James : method of amputation, 390. 



amputation through calf, 409. 

 SpUnt : for hand after excision of ^vrist, 432. 



Sponge, carboUzed : use of, in antiseptic treatment 

 of wounds, 224. 



first used by Syme, 224 {footnote). 



kept steeped in carbolic lotion in hospitals, 225. 



method of preparation in private practice, 225. 

 Sponges : purification of, for abdominal operations 

 by Bantock and Tait, 335. 



wrung out of sulphurous acid, used by Bantock 

 in cleansing peritoneum, 335. 



carbohc acid best purifying agent for, 351. 



author's method of purifying for private opera- 

 tions, 353. 



need not be discarded for sterilized cotton m'ooI, 



353- 

 washing of, during operations, 354. 



Spontaneous generation : idea of, demolished by 

 Pasteur, 340, 494; objections to doctrine of, 

 482, 483, 484. 



Spoon, sharp. See Sharp. 



Spore-bearing bacteria : resist all known germici- 

 dal agents that could be used in operations, 341. 

 do not cause mischief in wounds, 341 ; an 

 exception to this, 341 {footnote). 



Sporeless bacteria: killed by carbolic acid, 341, 



342. 

 Sporeless micrococci : our enemies in surgery, 351. 

 Spores : organisms with most resistance cause no 



trouble in surgical work, 351. 

 Spray, carbohc acid : use of, to prevent admission 

 of putrefactive organisms to wound in opera- 

 tions, 166, 170, 180, 181. 



dispenses with necessity of washing wound with 

 antiseptic lotion, 170. 



useful in stitching w^ounds and in changing dress- 

 ings, 170. 



reduction of strength to i in 100, 180 ; ad- 

 vantages of this reduction for surgeon and 

 for patient, 180. 



illustration of its use in opening a psoas abscess, 

 181. 



makes safety in ligature of arteries with anti- 

 septicized catgut a matter of certainty, 190. 



I in 40 carbolic acid solution recommended, 206. 



absurdity of using when wound communicates 

 with mouth, 245. 



none would rejoice more than author if it could 

 be got rid of, 260. 



importance of its being directed on wound, 260 ; 

 instance of neglect in this particular, 261. 



importance of proper direction in removal of 

 drainage tubes, 267. 



is it necessary ? 279. 



the least important of antiseptic means, 279. 



if apparatus not at hand, surgeon should still 

 attempt to obtain antiseptic results, 279. 



author in view of his results does not feel justified 

 in abandoning it except on perfectly established 

 grounds (1881), 280. 



if proved that idea of atmospheric contamination 

 of wounds is baseless, he would joyfully aban- 

 don it, 280. 



irrigation advocated instead of, by Bruns, 280 

 (footnote). 



author ashamed (1890) he ever recommended it, 

 for destruction of microbes in air, 336. 



untrustworthiness of, t,2,6. 



illustrated by operation for empyema, t^t^G, Tf'^j. 



abandoned by author in 1887, :^2<7' 



did not destroy microbes in air but owed what- 



