18
REPORT ON THE
The consensus of opinion was in favour of the old system, but some of the
Medical Officers raised objections and have also suggested certain improvements.
My own opinion is even stronger than it was that for administrative purposes
the new system is almost useless. The Government has since asked me to
submit definite forms embodying my proposals and the suggested improvements
in the old system. I am now considering this matter, and will submit a further
report on the subject at an early date.
The total number of deaths among patients on whom operations were per-
formed, including those remaining under treatment from 1897, was 154, or
.72 per cent., against 178 and .70, respectively, in 1897.
The following important operations were performed during the year
under report:—
Number.
Number.
Excision of bones
...
7
Amputations of shoulder, arm
„
of joints
...
8
fore-arm, elbow, hand, wrist,
Abdominal section
...
24
thigh, leg, knee, hip and foot
89
Excision of the vermiform
Trephining or removing portions
appendix
. . .
...
3
of skull
...
...
11
Enterectomy
...
...
1
Removal of scrotal tumour ...
52
Colotomy
...
...
6
Ovariotomy
. . .
...
15
Operations for strangulated her-
Removal of parovarian tumour ...
2
nia
...
...
30
Removal of uterine appendages
4
Operations for radical cure of
Hysterectomy
...
. . .
7
hernia
...
...
29
Removal of ovaries
...
1
Operations for abscess of liver ...
68
For vesico-vaginal fistula
. . .
1
Cholecystotomy ...
. . .
2
„ recto-vaginal fistula
...
2
Nephrotomy
...
...
1
Tait's operation ...
...
9
Nephrectomy
. . .
. . .
1
Delivery by forceps
. . .
53
Nephro-lithotomy ...
...
1
„ by turning
...
9
Cystotomy
...
...
3
„ by craniotomy
. . .
4
Lithotomy
...
. . .
1
„ by decapitation
. . .
3
Litholapaxy
. . .
. . .
15
Cæsarian section ...
. . .
1
Internal urethrotomy
...
1
Porro's operation ...
...
2
For restoration of nose
...
1
Symphisiotomy ...
. . .
1
Extraction of lens
... 418
„
of dislocated lens ...
6
900
Tracheotomy
...
...
8
The remaining operations chiefly consisted of the following:—
Removal of tumours
...
...
...
...
114
„
of cysts
...
. . .
. . .
...
80
Evacuation of abscesses
...
. . .
...
. . . 3,158
Removal of foreign bodies ...
...
...
...
199
„
of lymphatic glands
...
. . .
...
604
For chronic ulcer
...
...
...
...
138
Boils opened
...
...
...
. . .
...
226
Whitlow and carbuncle incised
...
. . .
...
237
Nails removed ...
...
...
...
. . .
51
Wounds incised and stitched ...
...
. . .
...
236
For sinus
...
...
...
. . .
...
204
Removal of fragments of bone or sequestra
...
. . .
74
Operations on fractured bones
...
...
...
434
Reduction of dislocations
...
. . .
...
...
114
Amputation of fingers
. . .
...
...
. . .
131
Washing out stomach
...
...
...
...
44
Paracentesis of abdomen
...
...
...
...
33
For hæmorrhoids
. . .
...
...
...
84
„ fistula in ano
...
...
...
. . .
55
Passing of a catheter or sound
...
...
... 1,296
For stricture of urethra—
By gradual dilatation ...
...
...
...
97
By forcible ,,
...
...
...
...
35
For phimosis
...
...
...
...
. . .
421
„ paraphimosis
. . .
. . .
. . .
. . .
129
Removal of nasal polypus
...
. . .
...
...
56
Extraction of teeth
...
...
. . .
... 7,078
Stopping of teeth
...
. . .
...
...
157
Carried over
... 15,485