File:The Röntgen rays in medical work (1899) (14756910045).jpg

Identifier: rntgenraysinmedi00wals (find matches)
Title: The Röntgen rays in medical work
Year: 1899 (1890s)
Authors: Walsh, David
Subjects: X-rays Radiography X-Rays Radiography
Publisher: London : Baillière, Tindall and Cox
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School

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nd, accidental and otherwise,that come under treatment in the course of a single year at oneof the great general hospitals of the Metropolis. Many prac-titioners will readily recall the long and fruitless search for themissile that usually took place in their student days. Now all 86 THE RONTGEN RA YS IN MEDICAL WORK that is changed, and if a bullet be present, it may as a rule belocated within a few minutes by the Kontgen ray apparatus whichis now attached to every well-appointed hospital. One great advantage of the new method is the avoidance ofthe risk of introducing harmful micro-organisms into the woundby means of the probe. In fact, the method may be regarded asan addition of prime importance to aseptic surgery, and it mustinfallibly lessen the mortality that has been hitherto incident togunshot injuries. A further gain is that, with a knowledge ofexact location, the surgeon can minimize the extent of his opera-tive measures. The latter point is well illustrated in the following
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Fig. 32.—Shot embedded in Muscular Forearm. case, reported by Dr. E. H. Lee to the Chicago Academy ofMedicine : 1 The removal of foreign bodies by means of skiagraphs, heremarked, has opened up a great field of observation in thatline. I have in this connection an interesting case, which wasthat of a policeman who, in pursuing a burglar, shot himself inthe heel. The skiagraphs show the bullet embedded in the upperportion of the os calcis. I located the bullet before removing itby Girdners bullet-probe. By the skiagraph it is seen that thebullet is not located in the joint. This is a point which was ofthe greatest importance, for the joint was not opened during theoperation. It was supposed that we could not remove the bullet MEDICAL AND SURGICAL APPLICATIONS 87 without opening the joint, and it could hardly have been avoidedhad we not had such accurate knowledge of the location.* It will be seen, therefore, that the Eontgen methods furnish, asit were, an absolute chart upon which th

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