16
REPORT ON THE
27. Surgical operations .—The total number of major operations performed
at all the institutions was 3,403, or an increase of 1,182 over that of 1891. The
increase is more apparent than real, for at the Medical College Hospital a common
operation classed as minor in 1891 was returned, in accordance with recent orders,
as a major operation. This alone accounts for 472 of the total increase over 1891.
But making due allowance for this, 710 more major operations were performed
in 1892. Death followed operation, whether as the result of it or of the general
condition of the patient, in 134 cases, or in 3.78 per cent. In 1891 the death-
rate was 4.5 per cent. These figures contrast significantly with the results of
ten years ago, and are in great measure due to the care and thoroughness with
which the details of antiseptic surgery have been carried out.
28. Minor operations have apparently decreased by 395, and the diminu-
tion chiefly occurred in the Mayo Institutions and the Bhawanipur Dispensary.
29. At the Medical College 2,021 major operations were performed,
and the following is a list of the principal ones:—
Extraction of lens for cataract
...
... 298
Lithotomy
...
...
...
. . .
4
Litholopaxy
...
. . .
. . .
...
19
Herniotomy
. . .
...
. . .
. . .
31
Amputations
...
...
...
...
55
Delivery by forceps
. . .
. . .
...
67
Turning in delivery
. . .
...
. . .
23
Ovariotomy
...
. . .
. . .
. . .
8
Laparotomy (abdominal section) . . .
...
...
17
Craniotomy
. . .
. . .
...
. . .
1
Cæsarian section
. . .
. . .
. . .
1
Lumbar colotomy
. . .
...
...
1
Radical cure of hernia
...
...
. . .
28
It is hardly necessary to note that these operations were performed by the
staff of the hospital, and that the junior members of it had their full share of
practice. The death-rate after operation at the hospital was 4.36, against 5.1
in 1891.
30. Presidency General Hospital. —There were 55 major operations perform-
ed here and 67 in 1891. It is not a surgical hospital, and there must be consider-
able fluctuation in the figures from year to year.
31. The Campbell Hospital returns show that 171 more major operations
were performed in 1892 than in 1891, and this would be the natural result of the
relief afforded at the out-patients' department recently opened. Of the total
number I find that the Resident Assistant Surgeons operated in 75. The
mortality among the patients operated upon was 3.0 per cent., and it was very
slightly above this in 1891. It is a matter of congratulation that operations on
the eye are increasing in number at this hospital, and that the results of them
are so satisfactory.
32. Mayo Native Hospital. —There were 508 major operations done at the
institution, showing an increase of 57 over the figures of the previous year. The
chief operations include 37 cases of extraction of lens, 4 of lithotomy, 9 of
litholopaxy, and of amputations 11. Here also the House Surgeons had a fair
share of this very important branch of practice. The mortality of patients
who underwent major operations is shown to have been 3.08 per cent.
33. Chandney Hospital.—At this institution there are 12 beds, and in 1892
a daily average of 344 out-patients. But there were only 41 major operations—
an amount of surgical work which may be fairly expected to increase.
34. At the Park Street, Sukea's Street, and Chitpore dispensaries there
was comparatively little surgical work done, considering the daily average
attendance at each.
35. At the Howrah General Hospital a very large increase of surgical
work is apparent. There were 230 major and 1,320 minor operations per-
formed, against 80 and 1,056 respectively in 1891. Of the 230 major
operations, 58 were for cataract, and the success of these is represented at 87
per cent. The death-rate among major operations was reduced from 8.23 in
1891 to 3.01 in 1892.