Excerpt from North Carolina Medical Journal, Vol. 19: January, 1887 In certain cases the principles of surgery admit of no choice. For instance, if we are to Operate for malignant disease, we must go far above its seat, so as to leave behind no diseased elements. Or, again, in certain cases of severe injury, as in railroad accidents, where there has been crushing force and great tearing and dragging of the tegu mentary and other soft tissues, experience proves that if the opera tion is done near to the injury, although the skin looks sound, the stump will slowly mortify. The vitality of the parts are affected higher up than would be supposed because of the injury to the nutrient vessels, and hence such parts slough at a later period. Never forget this important fact, for it will save you from having to do many secondary Operations I will shortly explain to you how the nature of the diseased condition before us will necessitate my operating well above the joints. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.