CALCUTTA MEDICAL INSTITUTIONS.
17
38. Remittent fever.—There were 617 cases, against 609 in the previous
year. The mortality was also higher, the number of deaths having been
185, or 29.98 per cent., against 139 and 22.82, respectively, in 1898. The
disease was of a severe and virulent type in the year under report.
39.
Cerebro-spinal fever.
—
T here were seven cases in 1899. Four, viz., two
Eurasians and two "other class," were treated in the Medical College Hospital
with fatal results in each case. At the Ezra Hospital there was one case which
ended fatally. There was one case at the Presidency General Hospital. The
patient recovered. The Chandney Hospital, which has had hitherto no case,
shows one in 1899. The patient was received in a moribund condition
and died.
40. Surgical operations.—The total number of operations increased from
21,610 in 1898 to 25,109 in 1899, the reason being that more patients attended
the hospitals during the latter year. The increase would have been still greater
had not certain operations been excluded from the returns in accordance with
the Government of India, Home Department, letter No. 1444, dated 9th August
1899.
The number of patients on whom the 25,109 operations were performed
was 24,947, the number of "principal " operations being 25,022 and of
"secondary" operations, 87. During the year under review I submitted to
Government a further report on the system of recording surgical operations.
The matter is now under the consideration of the Director-General, Indian
Medical Service. My own opinion is unchanged in the matter.
The total number of deaths among patients on whom operations were
performed, including those remaining under treatment from 1898, was 154, or
.61 per cent., against 154 and .72, respectively, in 1898.
The following is a list of the important operations performed during
1899:—
Number.
Number.
Excision of bones ...
. . .
14
Internal urethrotomy
...
1
,,
of joints ...
...
8
Scrotal tumour
...
. . .
70
Union of divided tendon
. . .
3
Ovariotomy
...
. . .
5
Trephining or removing portions
of skull
...
. . .
6
Oophorectomy
...
...
11
Removal of uterine appendages ...
1
Craniectomy
...
...
2
„
of parovarian tumour ...
3
Rhinoplasty
...
. . .
3
,,
of
,,
cyst
...
1
Extraction of lens ...
. . . 387
„
of tubes for
e c t o p i c
gestation
...
. . .
4
,,
of dislocated lens
...
3
Tracheotomy
...
. . .
5
Ventro-suspension of uterus
...
1
Abdominal section
... . . .
35
Hysterectomy
...
. . .
5
Entereotomy
...
. . .
1
Colporrhaphy
...
...
12
Colostomy
...
. . .
3
For vesico-vaginal fistula
...
3
Operations for strangulated her-
nia
...
...
1 5
Kolpohysterectomy
. . .
2
Delivery by forceps
...
116
Operations for radical cure of her-
nia
...
...
32
„
by turning
...
21
„
by craniotomy
...
6
Operations for abscess of the liver
6 7
„
by cephalotripsy
...
3
Cholecystotomy
..
. . .
2
„
by podalic extraction ...
1
Operations for hydatid cyst of
the l i ver ... ...
2
„
by decapitation
...
5
Nephrorrhaphy
...
. .
1
„
by evisceration
. . .
1
Splenectomy
...
. . .
2
„
by caæsarean section ...
3
Cystotomy
...
. . .
1
Porro's operation ...
...
1
L i t h o t o my . . . . . .
4
Amputations of shoulder, arm,
forearm, hand, wrist,thigh,
leg, knee and foot
. . .
87
Litholapaxy
... ...
7
Lithotrity
... ...
2
Nephro-lithotomy ...
. . .
1
Total
...
969
D