By Dr. Michael Echols
Illustrations below are from the Civil War Hand-book of Surgical Operations, 279 pages, 1862, by Stephen Smith (1823-1922) More on Civil War surgery manuals.
Stephen Smith's Hand-book was the most widely used surgical manual among the Union forces (The History of Surgery in the United States, Ira M. Rutkow, M.D.).
Additional photos of amputation instruments
An 1870 Gemrig catalog with diagrams of instruments.
The entire article on amputation procedures in general by Stephen Smith
Click on images to enlarge
c. 1863 surgical set by Wade and Ford, New York City, which belonged to a documented Civil War Federal Naval Surgeon. The case is engraved with his name and the 1863 date of its purchase. This is the type of personal set a surgeon could have brought to war and was specified as 'Dr. Wood's Cased' by Dr. Stephen Smith.
See additional details and EXPANDED photos of this set
|A surgical set by Wade and Ford, typical of those used in the field during the Civil War. Above is an excellent example of this Civil War set in this collection.|
|Various bullet forceps,
extractors, and locaters.
|Chain saw, needle with
thread for threading the chain, and a needle director for going
around the bone and pulling back the end of the chain saw.
The handle on one end of the chain is removed and then is attached to the thread and pulled around the bone.
|Tourniquet used to apply pressure on the artery to stop or limit bleeding. The knob is turned to increase the pressure and the strap is released with the locking buckle on top of the arm.|
|The chain, shown on the right, is attached to a thread or 'ligature', which is then threaded from the right to the left. The ligature end is picked up with tweezers on the left and pulled through with the chain. The handle is then re-attached to the chain and the bone sawed (resected) in half.|
|Hand-hold used to quickly cut the muscle into flaps which will be turned over the end of the bone.|
|The muscle is hand retracted and an amputation knife is being used to trim down to the bone prior to cutting the bone with a saw.|
|A small amputation knife being used to cut between the joints during amputation of the fingers.|
|Lower leg cutting pattern to include flaps which will be turned over the bone stump.|
|Use of large forceps for removing bone from hand.|
|Ligature needle with handle used to pass a ligature (thread) through the muscle or around an artery during suturing after the amputation.|
Contact Dr. Arbittier or Dr. Echols
Last update: Monday, December 12, 2016