File:A system of surgery - Benjamin Bell (1783) (14595396439).jpg

Identifier: systemofsurgeryb06bell (find matches)
Title: A system of surgery / Benjamin Bell
Year: 1783 (1780s)
Authors: Bell, Benjamin, 1749-1806
Subjects: Surgery General Surgery
Publisher: Edinburgh : Charles Elliott (etc.)
Contributing Library: West Virginia University Libraries
Digitizing Sponsor: LYRASIS Members and Sloan Foundation

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have mentioned concur to renderthe fuhfequent fever, and every conco-mitant fymptom, more violent than wecommonly find them in patients whohave heen reduced by confinement anda low regimen, and who, from havingfull leifure to reflect upon the danger oftheir fituation, are, from their own con-viction of its being neceffary, very rea-dily induced to fubrnit to the operation. A patient may indeed be brought folow as to make the fuccefs of the opera-tion doubtful from this caufe alone : Buta practitioner may always guard againftthis by propofing the operation when hisattempts to fave the limb prove abortive,and when the patients firength declines. Amputation proving more fuccefsfulin the more advanced fiages of com-pound fractures than when practifed im-mediately after the accident; and in themore advanced ftages of chronic affec-tions, particularly in white fwellings ofthe joints, as we have elfewhere remark-ed, than in the more early periods of them; i^LA-TE l.^XXVl . PIG. I . TIG-. 2,
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IB 03 Sect. XV. Of Compound Fractures* 141 them y is a point which merits the at-tention of practitioners. So far as myobfervation goes, I confider the fact asafcertained; and if the experience ofothers leads to the fame conolulion, itwill prove the moil convincing argu-ment againft early amputation. In thecourfe of my own experience, I do notrecoiled: an inftance of death occurringfrom the operation alone, where the af-fection for which it was advifed was offome duration ; and in feveral inflancesit has been performed where the patientwas very much exhaufted : Whereas fe-veral have died merely from the opera-tion, where it has been put in practicefoon after the accident. When I fpeakof death as the confequence of the ope-ration, I do not mean fuch inftances of itas occur from hemorrhagies breaking outin the courfe of a fhort time after the pa-tient is laid in bed, as thefe may happen atwhatever period a limb may be amputated^but fuch as take place about the fecond orthird day, and in

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