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History of medical practice in Illinois - Bushnell Historical Society

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General Surgery 1671868Dr. Edw<strong>in</strong> Powell <strong>of</strong> Chicago presented an abstract <strong>of</strong> a report on thetreatment <strong>of</strong> ununited fractures by repeated drill<strong>in</strong>gs(Bra<strong>in</strong>ard method),strictures <strong>of</strong> the urethra by per<strong>in</strong>eal section, cystotomy for cystitis, prolapsusrecti, resection <strong>of</strong> nerves for neuralgia, and the use <strong>of</strong> brom<strong>in</strong>e <strong>in</strong> erysipelasand carbolic acid <strong>in</strong> surgery. In the discussion, Dr. Pr<strong>in</strong>ce reiterateduse <strong>of</strong> his spiked pressure apparatus for fractures.At this meet<strong>in</strong>g Dr. Moses Gunn was appo<strong>in</strong>ted as a Committee onStaphylorrhaphy. Also a report was given by Dr. R. G. Bogue, Surgeon atCook County Hospital, on "Chronic Inflammation <strong>of</strong> the Hip Jo<strong>in</strong>t." Heapplied traction on the leg and described a wet dress<strong>in</strong>g for the hip itself.He understood bone caries and pus formation, as well as the result<strong>in</strong>gankylosis, and advised early operative removal <strong>of</strong> diseased bone with wash<strong>in</strong>gout <strong>of</strong> the rema<strong>in</strong><strong>in</strong>g cavity by carbolic acid or potassium permanganatesolution.Dr. F. O. Earle <strong>of</strong> Chicago described the use <strong>of</strong> the Taylor brace forsp<strong>in</strong>al curvature, <strong>in</strong>clud<strong>in</strong>g head attachments for correction <strong>in</strong> the cervicalregion.Dr. Edmund Andrews described an "Improved Form <strong>of</strong> the Endoscope"deep cavities and mucous passageswhich could be adapted to <strong>in</strong>spect all<strong>in</strong>to which a straight tube could be passed.the1869Dr. Moses Gunn gave a report on staphylorrhaphy. The Committee onSurgery for that year gave no special report.1870The Report on Surgery was given by Dr. Moses Gunn. Excision <strong>of</strong> thehip jo<strong>in</strong>t was discussed as a means <strong>of</strong> obta<strong>in</strong><strong>in</strong>g relief from exhaust<strong>in</strong>gsuppuration. Several reasons were advanced for do<strong>in</strong>g this. A free dra<strong>in</strong>agefrom the wound could be ma<strong>in</strong>ta<strong>in</strong>ed until heal<strong>in</strong>g from the bottom occurred,for heal<strong>in</strong>g without suppuration was unatta<strong>in</strong>able (but by <strong>in</strong>ferencedesirable) even by the use <strong>of</strong> carbolic acid.Nephrectomy and renal lithotomy were discussed. It was said that Hippocratesadvised this. However, only one successful case had ever occurred,namely, that performed on the British Consul at Venice by an Italian surgeon.Two other cases were mentioned, one <strong>in</strong> Heidelberg and one at Guy'sHospital <strong>in</strong> London. Certa<strong>in</strong>ly Dr. Gunn kept abreast <strong>of</strong> surgical literature.Dr. Thomas Smith reported a case <strong>in</strong> which he used the already currentoblique <strong>in</strong>cision from the 11th rib to the ilium to approach the kidney.His operation was performed for supposed stones <strong>in</strong> the kidney but none

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