[ ^73 1 
XXXVI. Remarks and Confiderations relative to, the Per^ 
formance of Amputation above the Knee^ by the fin- 
gle circular Incifion. By Benjamin Gooch, Surgeon at 
Norwich. 
Rfcitie, May 19, y April, 1774 , I was afked,, in confnlta- 
“ ' A tion with feveral other furgeons, in the. 
cafe of a bad leg, in, a lad of about fifteen years of age, 
belonging to the Belchamp-houfe of Induftry, in the 
county of Suffolk. The propriety of the operation above: 
the knee was indifputable ; and the fingle, inftead of the. 
double, incifion, which I propropofed to the confidera-* 
tion of my brethren, was unanimoufly affented to, and 
done in the following manner. 
After drawing up the teguments as far as could be done,, 
fixing them tight and very exacSlly with a narrow^ band 
before ftraitening the toiirniquet ligature, the operation 
w'as performed by Mr. re vans, of Halefworth, who 
made the incifion quick and with great exadtiiefs, quite 
round to the bone, fteadily at once ; rather lower pofler: 
orly and internally than anteriorly and externally^ as the. 
(a) The band may be about an inch broad, made of firm lin.cn cloth or 
thin leather, fpread with common plafler; and in order to increafe its power, it. 
may have a llit in the middle, and be ufed like the uniting bandage, 
2 
band 
