586 



INDEX TO VOLUME II 



Suppuration of vertebrae : spontaneous cure of, 



under antiseptic treatment, 48. 

 SURGERY, THE ADDRESS ON (delivered at the 

 Annual Meeting of the British Medical Associa- 

 tion, 1 871), 172. 

 Surgery : antiseptic principle in, ^y. 



revolutionized by introduction of antiseptic 

 system, 341. 

 Surgery, clinical: remarks on the teaching of, 441. 

 importance of, 478. 



Syme's method of demonstrations in operating 

 theatre, 479. 

 Surgical Hospital. See Hospital. 

 Surgical teaching, clinical : in Edinburgh superior 

 to that in London, 451. 

 personal explanation on the subject, 451, 452. 

 Surgical wards : unhealthiness of, caused by 



emanations from sores, 135. 

 Suture, button : description of, 241. 



use of, 241, 242 ; after removal of breast, 273. 

 Suture, silver : in gynaecology (Marion Sims), 534. 

 tried by author in general surgery, 534. 

 used afterwards bj' Syme till introduction of 

 antiseptic silk, 534. 

 Sutures, catgut. See Catgut. 

 Sutures, silk. See Silk. 

 Sweden : discovery of new antiseptic substance 



(boracic acid) in, 227. 

 Syme : method of removal of tongue for cancer, 53 ; 

 fatality of compound dislocation of ankle, 137 ; 

 led to regard amputation or excision as best 

 treatment, 137. 

 treatment of irreducible hernia, 191. 

 his wards in Edinburgh Royal Infirmary, 197. 

 situation of ligature of femoral artery for po- 

 pliteal aneurysm, 218. 

 diffuse aneur^'sm of axillary artery treated by 

 ' old operation ', 286 ; the case as illustration 

 of action of blood-clots in preventing putre- 

 faction, 287. 

 cases of articular disease exempUfying advan- 

 tages of actual cautery, 373,374, 375, 37^, 377- 

 actual cautery introduced into Great Britain by, 



277- 

 modification of circular method of amputation of 



leg, 385 ; adaptation of, to thigh, 385. 

 excision of metacarpal bone, 398. 

 method of amputation at shoulder-joint, 401. 

 amputation at ankle, 404, 405, 406. 

 amputation through calf, 409. 

 method of cbnical surgical demonstration in 



operating theatre, 452, 478. 

 incUned to think that amputation should be 

 performed in all compound fractures of leg, 495 . 

 author fascinated by, 517. 

 a second house surgeoncy under, 517, 

 superiorityofhistreatmentofwoundstothe' water 

 dressing ' at University College Hospital, 517. 

 his method of dressing wounds, 517. 

 Sympathetic nerve. See Nerve. 

 Synovial effusions : cause of obstinacy of, 223. 

 antiseptic evacuation of, by aspirator, 223. 



Tait, Lawson : success in abdominal surgery 



achieved without antiseptic treatment, 335 ; 



this a stumbling-block to some, 335. 

 Tait, Peter Guthrie : assists author in experiments 



on dust in atmosphere by means of beams of 



condensed sunlight, 175. 



Tannic acid : catgut prepared with, too rapidly 



absorbed, iii. 

 Tarsus : amputation through, 404. 

 Tchistovitch : confirmation of Metchnikoff's dis- 

 covery^ of phagocytes, 332. 

 Teale (Leeds) : method of amputation of leg, 133, 

 408. 

 plan of introducing pieces of flannel into socket 



of artificial limb, 133. 

 method of amputation of penis, 235. 

 advantages of anterior flap in amputation, 387 ; 

 description of his method, 387 ; its drawbacks, 

 388, 389. 

 Tendon ligatures, unasepticized : tried and found 



unsatisfactory, 92. 

 Tension : next to putrefaction the commonest 

 cause of inflammation in surgical practice, 223. 

 Tetanus : rendered much less frequent by anti- 

 septic treatment, 255. 

 treated with antitoxic serum, 509, 510. 

 conditions not favourable, 510. 

 Tetanus bacillus : forms toxin which poisons 



system, 508. 

 Thiersch : first introduced antiseptic treatment in 

 Germany, 249 ; his testimony to the value of 

 antiseptic treatment, 249 (footnote). 

 his satisfactory results as regards salubrity of 



hospitals, 249. 

 saUcylic acid used by, as external dressing 



instead of carbolic acid, 249. 

 carbolic acid used by, for spray and lotion, 249. 

 believes that erysipelas is not influenced by 

 antiseptic treatment, 249 (footnote). 

 Thigh : amputation of, 411, 412, 413, 414. See also 



Amputation. 

 Thorax : penetrating wound of, 61. 

 Thumb : amputation of, 398 (and footnote). 

 Thyroid vessels : circumferential ligature of, 



before removal of goitre, 102. 

 Tibia : acute necrosis of, treated antiseptically 

 without exfoliation, 66. 

 chronic inflammatory thickening of lower part 

 with sinus, antiseptic excavation of, 267 ; 

 cavity filled by organization of blood-clot, 267 ; 

 progress of case, 268. 

 Tissues, dead : when protected from external 

 injuries, replaced by living, 365 ; this fact 

 suggested idea of catgut ligature, 365. 

 Tissues, injured : do not need to be ' stimulated ', 



but to be left alone, 144. 

 Tissues, living : healthy, prevent development of 

 bacteria, 280. 

 power of, to oppose bacteric development, 288. 

 antiseptic power of, 323 : first pointed out by 

 author, 323 ; but antiseptic adjuvants also 

 important, 323. 

 influence of, in checking bacteric development 



explained by phagocyte theory, 334. 

 bacteria introduced among, disposed of by 



phagocytes, 350. 

 energy of action of any substance upon, 

 depends on tenacity with which it is held by 

 solvent, 498. 

 a most injurious agent operating mildly may 

 stimulate function without impairing power, 

 528 (and footnote). 

 no action of, required to keep blood liquid, 538, 



539- 

 Toes, amputation of, 402. 



