The daily gazette., 1881-07-12
srz3rnAn WOUNDS.
Hew Thsy We're sassessfuIly lTrsa-
ted--ssSeraa 0ases TrsassA. y y

new Thsy Were sasse sessfuIly Urea.
-sS. ted--BsSeraA 0ascs Treated. Z
From the Boston Journal.
Among lbs authorities constantly con.
suited BY the physicians In attendance
upon the President, 10. 1.-THE Medical
and Surgical Histosy Of the War Of the
Rsbslliol." . b tn part I've, volume two, tExo
pared under no direction Of Surgeon
General Barnsx, there are reported 17S
cases Of 6 Anslsos lwor lda Of the nysr. In
seme INT t-otuctoly II parks on wounds
Of this ns;ure, Assistant Surgeon Otis
said; " the patiens escaped the early
danger Or hemorrhnge, they were likely
to dieI ofs tranmaticr per1tonitis Or from
absceas OF the leptic parenchyma. Yet
abundant proof was offered that very
serious shot injuries of the liver were
not necessarily mortal. This will be
fully nut in evidence by detailed obser.
vations and by tabu'ated statements aE.
ter the principal varieties Of LESSONS OBJ
served on microscopic exam'nation
shall have been presented.
One hundred and seventy-three cases
Of shot wounds Of the liver appear on
the returns % having come under treat
ment. OF thess ITS cases, SO are des-
cribed Id . general sense % uncompli-
tied, where the injury to the liver was
the dominant lesion. In ia cree the
injury 70 the liver ives associated with
fractures OF The ribs or OF the vertebral
apaphiSe, or with LESSONS of tho lung
diaphragm, stomach hepatic duct,or gall
bladder of the spleen, pancrees, kidneys
OF blood vessSls. OF the 50 uncompli-
Gated cases 20 or more than AZ per cent,
were treated with success, and Of the ia
complicated ef sss, 81 or more than 50
per cent, were treated succ, ssfully. The
result Of treatment In three cases was
unfeperted. -
One or the ceaes Of recovery reported
wfs by Or. d. w. Bliss, who is one Of
the phyqcians attending the President.
DR.. Bliss was 1T that time an army sur
ge0n In cha &c Of Arr siy Square Hos
pital, In, Walhingt3n. The g SO reported
BY him was that Of Private Bradley OF
the Tbifty-ninth Massachl. sits Volun-
ateers who received q pistol-sl OF through
the liver at ,Hatcher's Run, Va, March
30, 1866. The treatment consisted Of
cold watsr dressings and the adninistra-
ton Of ton 'cs and stinulanfs. The
patient Improved rapidly, and was dis
charged May 20 1885, about two months
at er he received the wound. He 10 not
; pensioner. Another csc reported 10
that Of Privase w. M. Crandall Of Com
pany K. Forly-second OHIO Voluntee rs.
In this case the bullet Is Supposed TO
have remained In the liver. After
describing each Of the twenty-five cases
Of recovery from uncomp,lcated wounds
Of the liver, the author says fourteen Of
them can be accepted as indnbitable ex-
amples Of recovery from shot wounds OF
the liver, while In eleven CT co the EVIL
dence is inconclusive. = ,AsAf ~
Alter giving q detailed statementr' ;
garding the tbirty-laven cases ofrscovery
where wounds Of the liver were associa-
ted with injury to other organs the
author concludes that In eighteen OF
them the evidence is indubitable that
the ieaions existed, and adds the four
teen lncontestable recoveries of the frst
series. The record therefore, supplies
thirty-swo examples not to be excluded
b., the mos rigorG 1s analyals from the
category of recoveries from shot wounds
Of the liver.