20
REPORT ON THE
The total number performed shows an increase of 304 as compared with that
of 1893. Of this increase, 125 is accounted for by the opening of a speical
department at the Medical College Hospital for the treatment of the diseases of
the throat, ear and nose. There were 129 deaths, or 3.40 per cent., against 110,
or 3.15 per cent., in the previous year.
25. Minor operations increased from 19,001 to 24,988 in 1894. The increase
chiefly occurred in the Medical College Hospital. At the Eden Hospital a record
of all operations was kept from March 1894, with the result that no less than
2,747 appear in the list of that year. Three hundred and eighty-seven opera-
-tions were performed in the newly-opened department for the treatment of the
diseases of the throat, ear and nose. The Dufferin Hospital had an increase of
499 and the Campbell Hospital 562. The other institutions show little variations.
26. The Medical College Hospital had 2,135 major operations against
1,938 in 1893, showing an increase of
197. It has already been shown that
125 operations were performed in the
special department opened during the
year. The number of more important
operations is shown in the marginal
table. The total death-rate was 3.44 per
cent. against 4.05 in 1893. The decrease
is attributed to greater precaution hav--
ing been observed in the antiseptic me--
thod of treatment. Of the 15 stone
cases, including 2 remaining from the
previous year, 1 died; of a total of
52 amputations 4 ; 13 amputations of
the arm and forearm were performed
without a death ; 9 of the thigh with 1
death ; 2 amputations at the shoulder-
joint with no death. There were in all
9 cases of ovariotomy : all were suc--
cessful, and the result is highly satisfac--
tory.
27. The Presidency General Hospital shows 113 major operations against
111 in 1893. The death-rate was high, being 14.04 per cent. against 6.25.
This is ascribed by the Superintendent to the severe nature of the diseases for
which operations were performed. Two died owing to erysipelas having set in
after operation.
28. The Campbell Hospital shows a reduction of 33, the figures being
408 against 441. The decrease took place in the out-door department. There
were 30 extractions of the lens, including two remaining from the previous
year, of which 18 were successful, or 60 per cent. This small percentage of
success is probably due, as has been said last year, to the poor physique of
many of the patients on admission. Seventy-eight operations were performed
for the removal of enlarged glands, 71 for the radical cure of hydrocele, 87
for the opening of abscesses, and 25 were abdominal tapping. There were 29
amputations against 21 in 1893. The death-rate amongst these operations was
16.66 per cent. against 14.28 in the previous year. The total death-rate was
2.85 per cent. against 2.39 per cent. in 1893. This increase is accounted
for by a larger number of severe injury cases having been admitted during the
year. Barring the amputations, there were very few surgical operations of a
really important nature. Tracheotomy, lithotrity and perineal section were
represented by one case each. There was one herniotomy, two cases of excision
of bones, and seven of removal of tumours. It was pointed out last year that no
great improvement in the surgical work of this institution could be hoped for
until it was provided with a proper surgical ward. The construction of a
separate surgical ward sanctioned for the hospital was completed in the begin-
ning of the current year. It is to be hoped that the institution, which is the
chief vernacular medical school in the province, will show better results in
future.
29. The Mayo Hospital had 628 major operations, showing an increase
of 90 over the figures of the previous year. The excess is chiefly seen in the
1893.
1894.
Extraction of lens for cataract ... 316
286
Lithotrity
... ...
. . .
2
Lithotomy
...
...
3
2
Litholapaxy
...
. . .
. . . 16
9
Herniotomy (simple)...
...
1
5
Herniotomy (combined) with radi-x
cal cure.
11
9
Radical care of hernia
...
24
25
Amputations
...
. . .
57
48
Delivery by forceps ...
52
41
Ditto by turning ...
11
14
Ditto by craniotomy
...
5
2
Ditto by cephalotripsy
...
4
4
Ditto by embryotomy
...
4
1
Ovariotomy
... ...
8
8
Laparotomy (abdominal section) ...
38
20
Colotomy
...
...
4
. . .
Nephrotomy
. . .
1
1
Operations for elephantiasis of scro-
tum.
49
36
Operations for vesico and recto-vagi-
nal fistula.
6
12
Perineorraphy
... ...
14
17
Operations for stricture
50
33
Removal of tumours ...
...
48
39
Total
... 722
614