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Pepper records a case in which a knife was thrust through the spheroidal fissure, wounding a large meningeal vein, causing death from intracranial hemorrhage. Nelaton describes an instance in which the point of an umbrella wounded the cavernous sinus and internal carotid artery of the opposite side, causing the formation of an arteriovenous aneurysm which ultimately burst, and death ensued.
"Further," wrote Sainte-Foix, "an English surgeon called Nelaton, who frequented the Cafe Procope, much affected by men of letters, often related that during the time he was senior apprentice to a surgeon who lived near the Porte Saint-Antoine, he was once taken to the Bastille to bleed a prisoner.
The Hospital Steward arrived with the Nelaton probe and an examination was made by the Surgeon General and myself, who introduced the probe to a distance of about two and a half inches, where it came in contact with a foreign substance, which lay across the track of the ball; this was easily passed and the probe was introduced several inches further where it again touched a hard substance at first supposed to be the ball, but as the white porcelain bulb of the probe on its withdrawal did not indicate the mark of lead it was generally thought to be another piece of loose bone.
"Further," wrote Sainte-Foix, "an English surgeon called Nelaton, who frequented the Cafe Procope, much affected by men of letters, often related that during the time he was senior apprentice to a surgeon who lived near the Porte Saint-Antoine, he was once taken to the Bastille to bleed a prisoner.
It was not till after months of acute suffering, borne with a gentleness that made the doctors say: 'This man is not a soldier, but a saint, that, through the skill of the French surgeon, Nélaton, the position of the ball was determined, and its extraction rendered possible.
Many surgeons came from all parts of Italy, and one even from England, to attend him, but the eminent Professor Nélaton saved him from amputation, with which he was threatened, by extracting the bullet from his ankle.
Nelaton found the missing member in the scrotum, where it had been for nine days. He introduced Sir Astley Cooper's instrument for tying deeply-seated arteries through a cutaneous tube, and conducting the hook under the corporus cavernosum, seized this crosswise, and by a to-and-fro movement succeeded in replacing the organ.
The feasibility of the operation of separating them was discussed by many of the leading men of America, and Thompson, Fergusson, Syme, Sir J. Y. Simpson, Nelaton, and many others in Europe, with various reports and opinions after examination. These opinions can be seen in full in nearly any large medical library.
Therefore after inquiring and being informed that the Rev. Dr. Gurley was Mrs. Lincoln's pastor, I immediately sent for him. Then I sent the Hospital Steward for a Nelaton probe. No drug or medicine in any form was administered to the President, but the artificial heat and mustard plaster that I had applied warmed his cold body and stimulated his nerves.
She has bestowed upon you and all the world an anodyne which enables you to cut arms and legs off without hurting the patient; and when his leg is off, she has given you a true artist's limb for your cripple to walk upon, instead of the peg on which he has stumped from the days of Guy de Chauliac to those of M. Nelaton.
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