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OXFORD MEDICAL PUBLICATIONS

MANUAL OF SURGERY

BY

ALEXIS THOMSON, F.R.C.S.Ed.
PROFESSOR OF SURGERY, UNIVERSITY OF EDINBURGH
SURGEON EDINBURGH ROYAL INFIRMARY

AND

ALEXANDER MILES, F.R.C.S.Ed.
SURGEON EDINBURGH ROYAL INFIRMARY

VOLUME FIRST
GENERAL SURGERY

SIXTH EDITION REVISED
WITH 169 ILLUSTRATIONS

LONDON
HENRY FROWDE and HODDER & STOUGHTON
THE LANCET BUILDING
1 & 2 BEDFORD STREET, STRAND, W.C.2

Printed in Great Britain by
Morrison and Gibb Ltd., Edinburgh

PREFACE TO SIXTH EDITION

Much has happened since this Manual was last revised, and many surgicallessons have been learned in the hard school of war. Some may yet haveto be unlearned, and others have but little bearing on the problemspresented to the civilian surgeon. Save in its broadest principles, thesurgery of warfare is a thing apart from the general surgery of civillife, and the exhaustive literature now available on every aspect of itmakes it unnecessary that it should receive detailed consideration in amanual for students. In preparing this new edition, therefore, we haveendeavoured to incorporate only such additions to our knowledge andresources as our experience leads us to believe will prove of permanentvalue in civil practice.

For the rest, the text has been revised, condensed, and in placesrearranged; a number of old illustrations have been discarded, and agreater number of new ones added. Descriptions of operative procedureshave been omitted from the Manual, as they are to be found in thecompanion volume on Operative Surgery, the third edition of whichappeared some months ago.

We have retained the Basle anatomical nomenclature, as extendedexperience has confirmed our preference for it. For the convenience ofreaders who still employ the old terms, these are given in bracketsafter the new.

This edition of the Manual appears in three volumes; the first beingdevoted to General Surgery, the other two to Regional Surgery. Thisarrangement has enabled us to deal in a more consecutive manner thanhitherto with the surgery of the Extremities, including Fractures andDislocations.

We have once more to express our thanks to colleagues in the EdinburghSchool and to other friends for aiding us in providing newillustrations, and for other valuable help, as well as to our publishersfor their generosity in the matter of illustrations.