CALCUTTA MEDICAL INSTITUTIONS.
7
STATEMEDT No VII-continued.
NATURE OF OPERATIONS.
Medical
College.
General
Hospital.
Mayo
Hospital.
Campbell
Hospital.
Alipore
Dispensary'
Bhowani-
pore Dis-
pensary.
North
Suburban
dispensary
Howrah
Hospital.
Total.
Oper at ed. Di ed.
Op e r a t e d .
Died. Op e r a t e d . Op e r a t e d .
Died.
Op e r a t e d .
Di ed.
Op e r a t e d .
Di ed.
Oper at ed.
Ope r a t e d.
Di e d.
Op e r a t e d .
Died.
Ope r a t e d.
Died.
Incisions
Urethrotomy
2
. . . ...
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
2
. . .
Teneotomy
1
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . 1
. . .
Tracheotomy
3
1
. . .
. . .
. . . . . .
1
1
. . . ...
... ... ... ...
3
. . . 7
2
Herniotomy
3
2
. . . ...
3
1
1
1 . . . ... ... ...
1 ... ... ...
8
4
Ovariotomy
. . .
. . .
. . . ... ...
. . .
. . .
. . . . . .
. . .
. . .
. . .
. . .
. . .
1
. . .
1
. . .
Perineal section
2 ...
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
2 . . .
Abscess (psoas, lumbar
and other large and
deep)
4
1 9
2
4
1
1 ... ...
. . . ...
. . .
. . .
. . .
7
2 25
6
Artificial anus
...
. . .
. . .
. . . 1
. . .
. . .
. . .
. . .
. . .
. . .
. . . 1
. . .
. . .
. . .
2 ...
Reparative
operations.
Plastic OPerationa
. . .
. . .
. . .
. . .
2
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
2
. . .
For cicatrices
3 ... ... ...
1
. . . 5
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
9
. . .
Protrusion of tubuli of
fungus testis
6
2
1
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . 7
2
Operations
not classi-
fied
(Paracentesis abdominis
et thoracis
. . . ...
8
3 10
1
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
7
1 25
5
Elephantiasis scroti
... ...
1 ... 26
2
. . .
. . .
. . .
. . . ...
. . . 7
1
. . .
. . . 34
3
Internal piles removed
6 ...
12 ...
2 ...
2
. . .
. . .
. . .
. . . . . . ...
. . .
. . . ...
22
. . .
Trephining
1
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . ... ... ...
... ... ... ...
1
...
Elephantiasis of female
genitals removed
2
. . .
. . .
. . . 1
. . . 1
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . .
. . . 4 ...
Obstetric
operations. Removal of foetus
. . .
. . .
. . .
. . . 1
. . .
. . . ... ...
. . .
. . . ... ... ... ... ...
1 ...
Total
469 22 42
5 173 12 38
9 11 ...
11
. . . 35
2 53 9 832
5 9
10. Beneath a table is given to admit of a comparison between the
results of the three last years in the matter of the more important surgical
operations as performed in all the hospitals of Calcutta and the suburbs :—
NAMES OF OPERATIONS.
1876.
1877.
1878.
Number of
operations.
Deaths. Deaths per
cent. of
operations.
Number of
operations. Deaths.
Deaths per
cent. of
operations.
Number of
operations. Deaths.
Deaths per
cent. of
operations.
Artificial pupil
8
. . . . . .
. . . . . .
12
. . . . . .
. . . . . .
5
. . . . . .
......
Iridectomy
23
. . . . . .
. . . . . .
37
. . . . . .
. . . . . .
41
. . . . . .
. . . . . .
Extraction of lens
175
. . . . . .
. . . . . .
185
. . . . . .
. . . . . .
201
. . . . . .
. . . . . .
Solution of lens
6 ......
. . . . . .
9
. . . . . .
. . . . . .
10
. . . . . .
. . . . . .
Extraction of foreign bodies from
cornea
4
. . . . . .
. . . . . .
47
. . . . . .
. . . . . .
41
. . . . . .
. . . . . .
Excision of eye-ball
5 ......
......
11
1
9.09
13
. . . . . .
. . . . . .
Removal of tumour near eye
1 ......
......
12
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
Staphyloma
......
. . . . . .
. . . . . .
5
. . . . . .
. . . . . .
7
. . . . . .
. . . . . .
Excision of joints
6 ......
......
10
. . . . . .
. . . . . .
4
2
50
Removal of necrosed bones
16
2
12.5
8
1
12.5
9 ......
. . . . . .
Amputation of arm
10
3
30
9
4
44.4
8
. . . . . .
. . . . . .
,, of forearm
11 ......
. . . . . .
26
. . . . . .
. . . . . .
13
3
23.07
, , a t t h e e l b o w
2
1
5 0
......
. . . . . .
. . . . . .
. . . . . .
. . . . . .
. . . . . .
,,
of thigh
12
9
75
16
10
62.5
7
3
42.85
,, of leg
14
6
42.8
13
4
30.7
16
7
43.75
,,
of foot
3
1
33.3
8
. . . . . .
. . . . . .
7
1
14.28
,, at the shoulder
1
. . . . . .
......
5
1
20
3 ......
. . . . . .
,, at knee-joint
. . . . . .
. . . . . .
. . . . . .
3
. . . . . .
. . . . . .
1
. . . . . .
. . . . . .
, , a t h i p - j o i n t
. . . . . .
. . . . . . ......
3
1
33.3
1
......
......
Lithotomy
18
4
21.1
24
5
20.8
35
2
5.71
Urethrotomy
5
3
60
1
. . . . . .
. . . . . .
2
. . . . . .
. . . . . .
Tracheotomy
8
5
62.5
6
2
33.3
7
2
28.57
Elephantiasis scroti
84
13
15.5
69
8
11.5
34
3
8.82
Perineal section
4
3
75
5
1
20
2 ......
......
Total
416
50
12.01
524
38
7.25
467
23
4.92
It thus appears that, though there are not so many of the more important
operations tabulated in 1878 as there were the year before last, the success was
greater. The rate of mortality was 4.9 per cent. in 1878, 7.2 in 1877, and 12 in
1876. There were 201 cases of extraction of the lens for cataract in 1878,
against 185 in 1877. Lithotomy appears to be comparatively rare in
Calcutta, only 35 cases in 1878, against 24 in 1877 and 18 in 1878. The
mortality from this operation was 5.7 per cent. last year, against 20.8 and
21.1 the two previous years. A successful case of ovariotomy by Surgeon-
Major Pilcher, of the Howrah General Hospital, deserves special notice. It
is believed to be the only instance of a successful case of this formidable oper
ation which has been performed in Calcutta or its neighbourhood.
Income and expenditure.—The subjoined statement shows the financial
position of the hospitals and dispensaries of Calcutta and its suburbs, so far
as it can be obtained. It will, however, be noticed that in all cases the cost
of medicines has not been given, nor have I been able to obtain this informa
tion though more than one application for it, and in different quarters, has been
made I feel certain, however, that the expenditure on account of instruments
and of medical stores during 1878 has been less than formerly.