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The prevention of hæmorrhage is the chief point in the management of amputations. Second to this the preservation of as much of the length of a limb as possible.
I will presume that in this day the question of the aseptic or antiseptic management of all wounds is no longer open for discussion among scientists; and that as to the question of amputating during the period of shock, it is no more permissible when applied to injury of an extremity than when it follows a perforating wound of the abdominal viscera, and where is the surgeon who, except for the arrest of hæmorrhage rapidly exhausting his patient, will add to the shock of accident the shock of deliberate surgical interference?
I desire to submit to you two amputations in major amputations which I have devised and successfully executed:
1. Bloodless amputation of the hip.
2. Bloodless amputation of the shoulder.
WYETH JA. THE MANAGEMENT OF MAJOR AMPUTATIONS.Read in the Section of Surgery and A natomy at the Forty-first Annual Meeting of the American Medical Association at Nashville, Tenn.y May 20, 1890. JAMA. 1891;XVI(6):185–186. doi:10.1001/jama.1891.02410580005001a
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