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Gunshot injuries; how they are inflicted, their complications and treatment (Inglés) Tapa blanda – 16 may 2012

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1914 Excerpt: ...that in the large majority of the cases no operation was indicated. Fallenfant1 informs us that in five primitive laminectomies which he saw at Moukden, death occurred rapidly. He saw no secondary operations. The experience of the British surgeons in the Anglo-Boer War was no better. We did no laminectomies following the battle of Santiago, as nearly all the cases in which the cord was 1 Op. cit. seriously involved with fracture died before reaching hospitals, or soon thereafter. In the light of our present knowledge, an operation such as a formal laminectomy is only indicated when symptoms of irritation and compression are present. Compression from blood clot may be indicated by the clinical history, and compression from spiculse of bone or a lodged missile may be indicated by the history, and X-ray evidence as well. Surgeons are often tempted to perform exploratory operations in gunshot of the spine, and yet Mr. Makins informs us that he saw but one case in his whole series in which it "seemed possible to regret the omission of an exploration." CHAPTER VIII Gunshot Wounds Of The Chest With the use of the old armament chest wounds numbered 8 per cent. of all wounds treated in war hospitals. This percentage is greater with the use of the new armament and the present-day field tactics, which favor fighting in the prone position behind shelter during which the upper part of the body is more frequently and longer exposed. There is also reason to believe that the mortality from internal primary hemorrhage will be greater on the field of battle than formerly as a result of the clean-cut character of the wounds of the larger vessels in the chest. The mortality for all chest wounds was comparatively large in the days of the old armament. Otis places it a...

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