On January 10th the lines of demarcation were
distinct and deep on all four limbs, though the patient, seconded
by his wife, at first obstinately opposed operative interference;
on January 13th, after a little hesitancy, the man consented to
an amputation of the arms. This was successfully carried out on
both forearms, at the middle third, the patient losing hardly any
blood and complaining of little pain. The great relief afforded
by this operation so changed his aversion to being operated upon
that on the next day he begged to have both legs amputated in the
same manner, which was done, three days afterward, with the same
favorable result. After some minor complications the patient left
for his home, perfectly recovered, June 9, 1866.
Begg of Dundee successfully performed quadruple amputation on a
woman, the victim of idiopathic gangrene. With artificial limbs
she was able to earn a livelihood by selling fancy articles which
she made herself. This woman died in 1885, and the four limbs,
mounted on a lay figure, were placed in the Royal College of
Surgeons, in London. Wallace, of Rock Rapids, Iowa, has
successfully removed both forearms, one leg, and half of the
remaining foot, for frost-bite.
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