New-York tribune., 1886-03-22
MAKING i NEW ARH FOR A MIN.
CUTTING STRIPS FROM HIS SIDE FOR IT.

CUTTING STRIPS FROM HIS SIDE ron H.
An OPERATION THAT WILL PROBABLY PROVE Sue
CEs>FUL.
4 surgical operation OF exceeding interest Is
being performed at the iAnnentnn Hospt1L II IS one
of those cases that be finished at single sitting
but which must carried through various stages ~
rrogres,iye way from the beginning to tnr end II was
begun about three ago, and from tie present hd-
cations there Is little doubt that the result desired Will
he attained.
The pAtiont Is Christopher Doll German, tDrty'one
years old lie received his injury accidentally. lie was
extremely fond OF smoking pipe One evening about
nine months ago he enjoying quiet smoke III us
room and while reading fell asleep. In some way the
nine which he stIlI held IN his mouth was overturned,
and the hot ashes fell from the bowl upon his shirt
sleeve ami fire. 1t smotnerel a time and burned
several small holes in the sleeve and then burst INTO
flame and the sleeper was aroused The fire had reached
his flesh, and he at the burning c.otl mady. lie
rolled over the floor. and finally the flame was extn
guishei His right arm from the wrist to the shoulder
was terribly burned and 1t looked II the flesh could
be scrapcd from the bone without trouble. The pain
was intense aud from the nature OF the wound II ap
pcared As the would have TO be amputated close
up 10 the shoulder Private medical treatment was iled
for time but IT did not accomplish any material
benefit Doll went to a hospital He remained under
constant care for two months By this time the fore
arm had healed leaving trshtful with the cchtr-
cial tissue drawing every direction Despite the most
per.everng treatment the upper portion OF the arm
frop t elbow to the shoulder could not be healed Tho
natent went to several hospitals but could get no reHei
There was such large surface OF exposed flesh in the
wound that pus formation was unusually large and
the nnsrptic prec lutions which taken did not
vent the absorption OF the poisonous matters into the
patents system. Thus dangerous condition or blood
poisoning set up. lie grew pale ana emaclateo'
lost his strength and courage, and when he was admit
ted TO the Hahnemann Hospital about two months ago.
Ls WAS a living skeleton with hardly muscular power
enough left to raise his hand.
As soon as he was admitted measures were taken to
stamp out blood contamination, which were eyentu-
ally successful, and the patient DoSAI; to recover
srength Whom lie strong enough aui his DOdy was
sufficiently free from the Incidental disease IL was ne
termned 6y attending surgeon TO make new upper
arm from the nrsh OF the patients body and to heal up
the wound by covering 1t over wltG healthy tissue Al
Grst mali urc,s OF flesh we're taken from parts
Of his body and placed din rent spots upon the raw
shoulder amatter OfeNperlmeht TO detsrmns whether
rhe hcrh could De successfully grtei The experiment.
E succe,sfu The little pieces o. flesh and SKIN uu ed
and made little on th' diseased shoulder These
minor operations were performed several dtYS apart
and without the OF any other than local anethe TIC
Everything had gone vol that about ten days ago
determined To begin the more important Prl oi
the operation which consisted IN covering up laEe
portion OF the al one time with ueSh Inc patent
first put under the hHucuce u al dI'Suc''' lHeI
all the ccar cia tissue upon the upper arm was scIApTd
with knife until 1t 6ied proius"Iy ana was entirety
raw While the arm was hed away rom tuo ooIS i" y
Incl lions made about three inches apart running
upward small ribs for about seven Inches Al
the lower tnd ot tlrse lnclaIohs Closs's "'a
and then strip flesh dlsscced up from me ribs,
fu length OF the luclsl)h, MAKING nap lHS
was left united at the upper end. Then the PATIENTS
arm was brought close his Side and th, loose Hap was
laid over on the flesh on the arm and
| carefully pressed aud lifted into position. When
this mad been done there still Large section OF tho
upper back arm remaining uncovered. Two inciSlons
were again made similar to the first two, running up
and down upper portion OF the side OF the back The
flesh thick tnis point aud permitted Tree dhsec-
| tion. While the upturncd flesh was yet palplIatlng
heart influence. II was put over me bleeding
surface OF and tted into place. Then the two
daps were securely fastened into position by long bands
OF sticking plaster while larger bands were run over
the lower portion OF the arm and around the abdomen
and back and nteraced that all motion OF the aim
was stopped tue whole wound hal been covered
with an antseptc dressing the ether cone was tasen oil
lie suffered little from shock and the hemOrrhage was
comparatively slight.
The arm was kept securely fastened to his side for
week. ana the wonnd was carefully dressed every day.
At first 10 was thought that the flesh from the side
would adhere flesh the but after two days
IL took rm hold and grew II II belonged there, ana
lille shoots OF flesh brtnchsi out every dlrcc
ton Two days the ends iting the two ndps to
the body severed the loose portions were drawn
around the under side OF the the ed-es trimmed 50
As 10 make perfect III, and then united with su
lures IN continuing the operation 1t Will bo necessary
To alter the shape OF the flaps Ia some places Only
little Ching taken place, aud this has had no IN
nr0us effect. The ,rm now presents comparatively
restricted until gets used to the new covering, and
then Will freely ever. The patient Is phys
cay strong and since the pain mas suOsded In hs arm
has improved porcepubly, ana the prospects, are tha h
Will DO able to leave the hospital IN about week with
/