Hislop tied four arteries, brought the ends of the trachea
together with four strong silk sutures, and, as the operation was
in the country, he washed the big cavity of the wound out with
cold spring-water. He brought the superficial surfaces together
with ten interrupted sutures, and, notwithstanding the patient's
age, the man speedily recovered. This emphasizes the fact that
the old theory of leaving wounds of this nature open was
erroneous. Solly reports the case of a tailor of twenty-two who
attempted suicide by cutting through the larynx, entirely
severing the epiglottis and three-fourths of the pharynx. No
bleeding point was found, and recovery ensued.
Cowles describes the case of a soldier of thirty-five who, while
escaping from the patrols, was shot by the Officer of the Day
with a small bullet from a pistol. The ball entered the right
shoulder, immediately over the suprascapular notch, passed
superficially upward and forward into the neck, wounding the
esophagus posteriorly at a point opposite the thyroid cartilage,
and lodged in the left side of the neck. The patient had little
hemorrhage, but had expectorated and swallowed much blood. He had
a constant desire to swallow, which continued several days.
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