The evening times., 1898-04-20

chance of living In the same way in
juries to the spleen can be treated. IL
has been found that the cxcision OF that
organ leaves the person in fairly good
condition, whereas, in former days, and
during the war of the rebellion, the re-
moval of that organ was never attempted
even by the most skilled surgeons Both
operations can be done in a few hours
and by the Army surgeons.
Take, for instance, another part of the
body on which injury might be inflicted
the hip. Hip or thigh amputauon in
former days was performed after a very
complicated method-the pressure of the
lilac or large artery. or by using a torni-
auet or pressure Dauoage upon the lower
part OF the abdomen and by the use OF
an additional screw contrivance. The
possibility today of compressing the lilac
artery and by an incision such as is gem
orally made for the removal OF the ap-
pendiN makes IL possible for the operator
to amputate at the hip by the sustained
COMPRISING of this artery. Inc opera
tion is now practiced by DR.. Charles Nc
Burney in the Roosevelt Hospital Man
haitian. at whose clinics at the Syms
Theater. Manhattan, every SATURDAY
NAV be seen many of the naval surgeons
The ability of the patient TO use ms ser
viceable artificial limb was formerly not
taken into consideration, but now ampu-
tation Is done at point which Will rem
der union quick. and where the muscle
flap will answer as cushion Ior the
bearing and wearing of an artificial con-
trivance for that part.
THE possibility of locating gunshot
wounds on the head or in the skull are
much greater now by the use of diagnos-
tic instruments made for the purpose ana
moi known at the time of the civil war.
One of these instruments is the tele-
phonic probe. which will verify the sound
of metallic substances to the adminlslra-
tors ear by two ear passes introduced IN
the ears of the operator and d metaihc
probe entering the wound. The crehlt Oh
this invention is due to DR.. John Harvey
Girdner. formerly of the Roosevelt Hos
pital. Another equally important dag
nostic instrument is the phonendoscope,
invented by Drs. Bazzi and Bianchi, Two
Italian doctors at Padua. Italy, IN 1876
This instruments. as well as the amphii-
phone invented by DR.. a. "A. hnudson OF
this borough, March 29 1887, transmits
sound which is of great Importance IL
aneurisms of the thoracic and abdominal
cavities.
I'm modern methods Of exploratory
work for injuries inflicted, instead of put
ting the patient under an anestheuc, the
availability of cocaine solutions injected
in the vicinity of the part to be incised,
especially according to the method sug-
gested by DR.. Schleich, of Berlin, Will
certainly prove useful in the coming war.
Laparotomies can be performed today
without any trouble by external injection
of cocaine solution. The latter is known
as the subcutaneous infiltration method
''In surgery again what was formerly
known as the amputation method, en-
ployed when there was fear that the
patient would die from collapse or shock,
is now, to a large extent discarded In
the case of a man who had part of his
limb knocked off or shattered by bomb
and was suffering from shock he would
he Immediately removed and made COM
Portable and an intraveniops injection of
salt solution to the extent OF quart Ia
thousand cubic centimeters) administer
ed This usually treats the shock ana the
surgeon awaits q more favorable oppor-
t1nitv for amputationl In former times
the limb was radically amputated as
first measure, and hence the patients
death. Now the injured man is made
comfortable and an effort made to re-
store his strength. The hemorrhage hav-
ing ceased, an opportunity is awaited un-
til the operation can be safely perform
ed. and when superior is in attendance
United States Army and Navy surgeons
who have deteriorated as a result OF long
service without active professional work,
have now the advantage of hospital duty,
progressive ideas in the United States
Marine hospitals, one of the finest of
which is carried on according to the most
which is in this borough and which is
conducted on the same principle as the
Won Bergman operating theater in Ber-
lin
The wound dressing package used by
the United States National Guard con-
tains Esmafck's triangular bandage, first
used in the Austrian war of 1866, and now
in use in eleven different countries. The
larger cut printed with this article shows
the different forms and methods In which
Esmarcks bandage is applied. The pack
age of antiseptic gauze, two antiseptic
gauze bandages with safety pins, three of
the triangular bandages with the mode of
application illustrated on them.
The smaller cut shows the equipment
box, as carried by the infantry militia.
1t contains adhesive plaster. bandages.
splints, antiseptics irrigating devices
and a packet case of instruments for
the use of the surgeon and his subordi-
mates, the steward and orderly.
Adolph Levy, who has been an expert