Commentaries on the Surgery of the War in Portugal, Spain, France, and the Netherlands / from the battle of Roliça, in 1808, to that of Waterloo, in 1815; with additions relating to those in the Crimea in 1854-55, showing the improvements made during and since that period in the great art and science of surgery on all the subjects to which they relate.

by G. J. Guthrie

DISEASES AND STATE OF WOUNDS.	Total treated.	Died.	Dis- charged to duty.	Transferred to Bourdeaux.	Proportion of death to the number treated.
Head	95	17	25	53	1 in 5-10/17
Chest	96	35	14	47	1 in 2-35/96
Abdomen	104	24	21	59	1 in 4-1/3
Super’r extrem’s	304	3	96	205	1 in 101
Inferior ditto	498	21	150	327	1 in 23-5/7
Comp’d fractures	78	29	...	49	1 in 2-20/29
Wounds of spine	3	3	...	...	1 in 1
Wounds of joints	16	4	...	12	1 in 4
Amputations—
Arm 7} Leg and thigh 41}	48	10	...	38	1 in 5-1/3
Total	1242	146	306	790	1 in 8-128/145

Wounded officers 117, not included, making a total of 1359, among whom thirteen cases of tetanus occurred, all of which proved fatal.

No. 2.—Officers.

NATURE Of WOUNDS.	Admitted.	Dis- charged.	Sent to Bordeaux.	Died.	Remaining.
Head	6	4	1	...	1
Chest	10	2	2	...	6
Abdomen	1	...	...	...	1
Sup’r extremities	33	9	15	...	9
Inferior ditto	49	12	21	1	15
Comp’d fractures	7	...	1	2	4
Slight wounds	11	7	2	...	2
Total	117	34	42	3	38

One secondary amputation of the arm occurred, and recovered; four of the inferior extremities, of which one died from tetanus. The thirty-eight remaining eventually went to Bordeaux, and thence to England.

No. 3.—Return of Capital Operations performed at the Hospital Stations of the Army in Spain, between the 21st of June and 24th of December, 1813, including the battles of Vittoria, the Pyrenees, and San Sebastian, to the entrance into France.

STATIONS.	OPERATIONS.	No. operated upon.	Died.	Dis- charged cured.	Under treat- ment.	REMARKS.
Vittoria	Shoulder- joint	13	10	2	1
	Upper extremities	108	58	40	10
	Lower ditto	148	95	38	15
	Trepan	3	3
Santander	Upper extremities	22	5	8	9
	Lower ditto	23	9	6	8
Bilbao	Shoulder- joint	5	5			{The great {number {of amputations at {this station {was in part {occasioned by {hospital {gangrene.
	Upper extremities	146	48	46	52
	Lower ditto	68	36	16	16
	Aneurism	1	1
Passages	Shoulder- joint	1	...	...	1
	Upper extremities	11	1	3	7
	Lower ditto	14	6	3	5
	Trepan	3	2	1
	Aneurism	1	1
Vera	Upper extremities	12	4	8
	Lower ditto	5	3	2
	Total	584	287	173	124
Recapitulation:—
	Shoulder- joint	19	15	2	2
	Upper extremities	299	116	105	78
	Lower ditto	258	149	65	44
	Trepan	6	5	1
	Aneurism	2	2

If one-sixth of the number remaining under treatment be considered to have died, which is a low calculation, the deaths will stand to the recoveries as 300 dead to 276 recovered, or a loss of more than one-half of the secondary operations.

No. 4.—Capital Operations performed in the Field with Divisions of the Army during the same period.

DIVISIONS.	OPERATIONS.	Number operated upon.	Died.	Dis- charged cured.	Under treatment.	Tetanus occurred.	REMARKS.
Cavalry	Upper extremities	3	1	2
	Lower ditto	3	2	1
First division	Shoulder-joint	3	...	2	...	...	1	Sent to General Hospital.
	Upper extremities	14	1	3	5	...	5
	Lower ditto	10	2	...	1	1	6
	Trepan	2	2
Second	Shoulder-joint	1	...	1
	Upper extremities	16	...	5	6	...	5	Sent to General Hospital.
	Lower ditto	21	3	6	7	...	5
	Aneurism	1	...	...	1
Third	Shoulder-joint	1	...	...	1
	Upper extremities	17	2	...	15
	Lower ditto	10	...	2	8
Fourth	Upper extremities	10	...	10
	Lower ditto	20	...	20
Fifth	Shoulder-joint	12	...	8	2	...	2	Sent to General Hospital.
	Upper extremities	57	1	36	2	...	18
	Lower ditto	41	10	13	2	...	16
Sixth	Shoulder-joint	1	1
	Upper extremities	7	...	5	...	...	2	Sent to General Hospital.
	Lower ditto	6	1	1	3	...	1
Seventh	Upper extremities	18	··	3	1	...	14	Sent to General Hospital.
	Lower ditto	9	1	...	1	...	7
Light division	Shoulder-joint	1	...	...	...	...	The whole of these cases sent to the General Hospital; results not known at the division.
	Upper extremities	21	...	...	...	...
	Lower ditto	8	...	...	...	...
	Trepan	4	...	...	...	...
	Total	317	27	118	55	1
Recapitulation:—
	Shoulder-joint	19	1	11	3	...	4	Sent to General Hospital.
	Upper extremities	163	5	64	29	...	65
	Lower ditto	128	19	43	22	...	44
	Trepan	6	2	...	...	...	4
	Aneurism	1	...	...	1	...