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Updated: June 22, 2025
The young girl was operated on in the crudest manner, the hemorrhage being checked by a hot iron. The sutures were made by means of seven thin, hot iron spikes, resembling acupressure-needles, closing the peritoneum and skin. The wound healed in eleven days, and the mother made a complete recovery.
The iron struck against the left side of the face, immediately anterior to the inferior maxillary and passed under the zygomatic arch, fracturing portions of the spheroid bone and the floor of the left orbit; it then passed through the left anterior lobe of the cerebrum, and, in the median line, made its exit at the junction of the coronal and sagittal sutures, lacerating the longitudinal sinus, fracturing the parietal and frontal bones, and breaking up considerable of the brain; the globe of the left eye protruded nearly one-half of its diameter.
The wound is closed with "bipped" silk sutures; one of these the "waiting suture" is left loose to permit of withdrawal of the gauze after forty-eight hours; the waiting suture is then tied, and delayed primary union is thus effected.
Jessop mentions the case of a child of eight who suffered a blow on the eye from a fall against a bedpost, followed by compound rupture of the organ. The wound in the sclerotic was three or four lines in length, and the rent in the conjunctiva was so large that it required three sutures. The chief interest in this case was the rapid and complete recovery of vision.
Perhaps the most striking expression, the word infect being italicized by Gurlt, is: "In elevating the cranium be solicitous lest you should infect or injure the dura mater." For wounds of the scalp sutures of silk are recommended because this resists putrefaction and holds the wound edges together. Interrupted sutures about a finger-breadth apart are recommended.
When a large arterial trunk, such as the external iliac, the femoral, the common carotid, the brachial, or the popliteal, has been partly divided, for example, in the course of an operation, the opening should be closed with sutures arteriorrhaphy.
One cavern at Lauang, however, is famous over the whole country on account of the gigantic, flat, compressed skulls, without sutures, which have been found in it. It will not be uninteresting to compare the particulars here described with the statements of older authors; and for this reason I submit the following extracts:
The only satisfactory method of getting rid of the coloration is to excise the scar; the edges are brought together by sutures, or the raw surface is covered with skin-grafts according to the size of the gap. Hypertrophied Scars.
Albert is buried at Heilsbronn in Frankenland, among his Ancestors, burial in Brandenburg not yet common for these new Kurfursts: his skull, in an after-time, used to be shown there, laid on the lid of the tomb; skull marvellous for strength, and for "having no visible sutures," says Rentsch.
The strength of this muscle in a large dog is almost incredible: the sutures between these bones must possess corresponding strength; and so strong is the union between them, that, in many old dogs, the suture between the superior maxillary and frontal bones is nearly obliterated, and that between the nasal and frontal maxillary quite effaced.
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