12
REPORT ON THE
13.
Operative Surgery. —The number of important surgical operations has
risen from 1,488 in 1887 to 1,719, which is a very satisfactory increase. The
minor operations have also increased from 16,487 to 20,264. Of the former,
including those remaining at the end of 1887, there died 85, or at the rate of 46
per mille, which is also an improvement.
14. The returns of the Medical College Hospital show 1,125 major
operations, and 81 cases of the previous year under treatment. Of these 37 were
fatal, or at the rate of 30 per mille, but if the figures of the eye ward be
excluded, the rate stands at 52.93 per mille. The 1,125 operations include
those performed in all the ward or divisions of the institution, and some of them
were of a very important character, requiring much skill and patient attention
to ensure their success. Among them may be mentioned:—
Cases.
Extraction of the lens for cataract
...
...
217
Iridectomy
...
...
...
69
Obliteration of varicose veins
...
...
2
Operations on aneurisms
...
... ...
2
Litholopaxy
...
...
...
...
12
Lithotomy
...
...
...
...
1
Tracheotomy
...
...
...
...
2
Abdominal section
...
...
...
...
4
For strangulated hernia
...
...
...
...
7
For radical cure of hernia ...
...
...
...
17
Perineal section
...
...
...
...
17
Ovariotomy
...
...
...
5
Plastic operations
...
...
...
...
20
Operations for elephantiasis of scrotum and labia
...
51
Excision of rectum
...
...
...
...
1
Nephrotomy
...
...
...
...
1
15. Most of these were performed by Brigade-Surgeon MacLeod, Surgeons
- M a j o r R a y e , S a n d e r s a n d J o u b e r t , a n d S u r g e o n J a m e s o n . T h e l a t t e r , w h o i s a
comparatively young medical officer, deserves credit for the successful per.
formance of several difficult operations, such as Symes' amputation of the foot,
litholopaxy, herniotomy, radical cure of hernia, rhinoplastic operation, &c.
The House Surgeons have also shown that they are capable of doing good
surgical work, and it is hoped that a larger share of the operations will fall to
them during the current year.
16. At the General Hospital, which is a medical institution, few operations
are performed, but the number rose from 23 in 1887 to 40 in 1888.
17. At the Campbell Hospital the operations have not increased, but they
are generally of a more important character than they were last year. Most
of them were performed by Assistant Surgeon Zuhuruddin, the Teacher of
Surgery, and include three lithotomies and 22 extractions of the lens for the
cure of cataract. This is a decided advance on the previous year, and
gives rise to the hope that there will be a still further improvement in the
future. It is most essential that the operations at this institution should
be both more numerous and of a more varied character if the students attached
to it are to get any real practical instruction in surgery, and the Superin-
tendent ought to spare no effort to attain this object. It has been suggested
that if a small out-door department could be added to the hospital, there
would be less difficulty in getting surgical cases, and this is a point well worthy
the consideration of Government.
18.
Mayo Institutions. —These show 333 major and 11,552 minor opera-
tions performed during the year, against 372 and 11,353 respectively in 1887.
Many of the major operations were of a very important character and difficult
of performance. Among them may be noted—
Cases.
Extraction of lens for cataract ...
...
...
86
Herniotomy
...
...
...
...
5
Operation for radical cure of hernia
...
...
...
1
Lithotomy
...
...
...
...
3
Litholopaxy
...
...
...
...
...
3
Internal urethrotomy
...
...
...
...
2
Perineal section
...
...
...
...
...
4
Excision of hip joint
...
...
...
...
2
Excision of lower jaw
...
...
...
...
1
Amputation at shoulder joint ...
...
...
...
1
Ditto thigh
...
...
.....
...
2