GAN 
are now exploded, it becomes unneceffary to take up 
_ more of the reader’s ie in endeavouring to prove the bad 
effets of this proceedin 
When a Caran i ceafed to extend its _ it will 
e fome time before the furgeon can remove the flough, 
owing to the Bake which fill fubfifts senshi the des 
and living parts. The feparation, as we 
plained, is the work of nature, the procefs bemg Ane e ef. 
feGted by the abforbent veflels, which take away the parti- 
cles of matter, that fo: conneftion between 
he dead mafs and It often gaan how.. 
ever, when a flough is large, that a portion of it wiil be 
loofe and fit for removal much fooner than the re ie this 
eircumftance, it is proper to cut the loofe por ortion a and 
of cleanlinefs, and in ord o di- 
have alrea 
robe Rn 
are > highly detrimental to ee Pviellen eee 
tion or ie 
le suhole thicknefs of a limb is mortified, the pa- 
tient might fometimes get quite well yy a natural pr rocefs the 
off, and the end of the femme part 
Ex an eee has proved, however, 
that when a f{phacelus has sem ded thes far, it is generally 
eft to perform amputation ‘as foon as the mortification 
evidently ftopped, a a line of feparation can i ae 
erned between tlie dead and living ee he reafon 
re the operation are, to give the patien ta ump, with or 
he can ule a wooden leg, and have the enjoyment of locomo- 
tion ; edite his recovery ; and to le ffen his fufferings. 
Were st ation not éxecuted, “t would be a long while 
many incifions w pas be ne 
» and abfeeffe 
concn, the ded woul 
eft importance ; for 
were the operation done fooner, i tae would often be- 
mien ed with gangrene, and the patient’s death be 
acce 
When the old fangeons pee in their endeavours to {to 
a mortification, the famou xim of “enfe recidendum,’’ 
&e, was beaale seth followed, a ne as Mr. Sharp remarks, the 
immediate profpect of inevitable death, without this remedy, 
always aii the leaft doubt on its propriety 5 but (fays 
this valuable er) time has at length pieced in this 
cafe a okt remarkable Soe 
it ; 
fea fargeons always ieee on till 
the gangrene has topped, and fometimes till the dead parts 
have advanced in their. feparation. 
“he reafon of this extraordinary change in practice j is the 
cages : sade Me has attended the operation un- 
der t mftance of a {prea eading gangrene. Mr. Po 
ee va in in his ns on amputation, es Ife has often 
feen the experiment made of cutting off a limb in which 
» but never fw it eae 
} aufe 
The 
aa 
ct 
Tr 4 
onfequences is i peed b 
paffibility of oe how re the tende 
reaches up t a a s certain that fuch dip ion 
frequently aie wh ® there i is no vifible alter to ex- 
. cite the leaf fafpician, “In man y inftances, a au porn 
7 
ney t rtification 
the mortification has ceafed 
The {preading of a 
gangrene, which was apogee coi the ftrongeft motive ~ 
GAN 
of the body feems deftined to perifh, in ae of every pro- 
cee — ould he chance to_ 
ne 
we n ud e wher 
utate, 
Generally fpeaking, the operation fhould _ done ie 
to fpread, anda ine can be 
feen on feel living edge, denoting the commencement of the 
feparat ra However, there are inftances in which the cre- 
ration os uld e poftponcd longer. We have féen in hofpi- 
tals fome patients with’ the fubltantial part of 1 the lower por- 
tion of their leg in a fphacelated fate, and the detachment 
complete, except with regard to the bones. eis of thefe 
patients were be bana that amputation, i ately per- 
for aed mig’ e them fink under the fed of the 
oa. the 
ry and covered with fpirit of wine, which was not allow 
to come into contact with the ee Shes » the aie exhala 
‘live. This grie s ke 
e 
ro) 
rhe es admitted of being done 
itary ‘than at an Ole per 
doubt, that, in many. of the a een the patient se 
Be et nas well Ww. iss aes ation he bon 
oliate, and t of the limb heal. 
hefote, fate, yon ce ae in this way would be yery an 
ous, and xe flump unfit for bearing the leaft preffure 
that the ae for the operation are ftill’ ftrong ‘and 
weighty. 
ne ° begin at all. here are many ex- 
a He “Tach a ’ gun-fhot wounds, lacerated 
wounds, fhattered ortnee ractures, &c. which will 
inevitably bring on mortifeation, or which at leaft will do fo 
in nine cafes ou ten. In fuch examples amputation . 
fhould be performed in the firft iaftance, the wound of th 
yale being infinitely lefs dangerous than an extenfive 
phacelus. 
GANGU, in oe a town | of Africa,- in Bam- 
LN. lat. J. lo 
NCUD, a ae of Hot fian, in Guzerat ; 3 5 
miles $.S.W. of Am ad. 
GANGUE, in Mining, fignifies the matrix of ores, or 
the ane rfarrounding the ore in a mineral vein: it is ufually 
rie of e kind, and is often called vein-ftuff, or deads. 
See as 
GANIETM, 7 in Geography, a town of Germany, in the 
principality of Wartzburg ; fix miles N.W. of Volckach. . 
A — rig See DiaMonp : 
_GANJAM, a Hi ndooftan, in Te circar of 
. It is ee of an emi. | 
ut a mile within 
barra. 
GA 
as 
-lat. 19? 226 ong. 
GANIL, in Manche The word, which { ai} Ae Cth 
~ Tangua 
