A manual of military surgery : for the use of surgeons in the Confederate States Army; with explanatory plates of all useful operations / By J. Julian Chisolm.

  • Chisolm, Julian John, 1830-1903.
Date:
1864
Catalogue details

Licence: Public Domain Mark

Credit: A manual of military surgery : for the use of surgeons in the Confederate States Army; with explanatory plates of all useful operations / By J. Julian Chisolm. Source: Wellcome Collection.

Provider: This material has been provided by the Harvey Cushing/John Hay Whitney Medical Library at Yale University, through the Medical Heritage Library. The original may be consulted at the Harvey Cushing/John Hay Whitney Medical Library at Yale University.

    596/614
    Fig. 1.—Anatomy of the head. The scalp and skull removed from the outer half of the head, exposing the brain enveloped in its menin- ges—the thickness of the scalp and skull is distinctly seen ; b b b is the prolongation of the dura mater, called the falx cerebri, between the folds of which is contained the superior longitudinal sinus; CD, large lateral sinus of the brain which, upon its exit from the skull at the fora- men lascerum postering, forms the origin of the internal jugular; a a a, branches of the arteria meningia media, ramifying over the surface of the brain, being partially lodged in grooves in the inner face of the temporal bone. Fig. 2 shows the application of the trephine in depressed fractures of the skull, a a a a, the four corners of the crucial flap dissected up and turned out so as to expose the skull. The crown of the trephine is applied to the bone, and the hand of the operator grasps the handle in such a way as to permit of rotation, while the index finger steadies the instrument. Fig. 3.—A fracture of the skull, with isolated fragment. A four- sided flap has been dissected up so as to expose the injury, and the loose fragment has been seized by a strong forceps, and is being extracted. Fig. 4 shows the stellated fracture produced by a concentration of the force causing the injury. A small portion of the bone has been re- moved to facilitate the application of the lever, so as to elevate the depressed fragments and restore them to their proper position.