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June 4, 1887


JAMA. 1887;VIII(23):640-642. doi:10.1001/jama.1887.02391480024009

Charing Cross Hospital—King's College Hospital —Sir Joseph Lister—The Spray—Sir James Paget— St. Bartholomew's Hospital—Ovariotomy—Antisepsis —Tarsotomy as it should not be done—Museum of the College of Surgeons—Professor Stewart.

Dear Dr. Fenger:  —My hospital visits in London began with Charing Cross Hospital. This institution is centrally located and was built in 1837. It contains nearly 200 beds, and affords a fair opportunity for studying accidental surgery, as the majority of cases treated here are recent injuries. Bloxam, Bellamy and Barwell are the surgeons in attendance. Although the spray is still in use and antiseptic dressings are applied, I found many of the wounds suppurating; the best possible proof that the essential and pedantic details of modern treatment of wounds are not fully carried out in practice. Carbolic acid is used as an antiseptic. Frequent changes of dressing undoubtedly are responsible, in many instances, for the numerous failures in securing primary union of

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