Abstract Every great war has always been more destructive than constructive from the medical point of view. However, certain facts have come out of the results of destruction which, when properly evaluated, have done something for the advancement of knowledge. The studies of shock, hemorrhage, compound fractures, thoracic surgery and the care of wounds during the World War have all brought about improvement in surgical treatment. The care of wounds, particularly with regard to infections, is certainly better understood since surgeons have had time to evaluate the accomplishments of surgery since 1918. In the present state of world unrest, surgeons may again be faced with the necessity for studying wounds, particularly with regard to the anaerobic infections. The history of gas gangrene has been reviewed frequently, and another such account would be superfluous. The incidence of this infection in civil life, the source of contamination and the methods of prevention are References 1. Callander, C. L.; Haim, A., and Maximov, A.: Gas Gangrene: An Analysis of One Hundred and Nine Cases Encountered in Civil Practice , Am. J. Surg. 42:811-823 ( (Dec.) ) 1938.Crossref 2. Ghormley, R. K.: Gas Gangrene and Gas Infections , J. Bone & Joint Surg. 17:907-915 ( (Oct.) ) 1935. 3. Coller, F. A., and Perham, W. S.:: Gas Gangrene in Civil Surgery , Mil. Surgeon 81:27-38 ( (July) ) 1937. 4. Eliason, E. L.; Erb, W. H., and Gilbert, P. D.: Clostridium Welchii and Associated Organisms: Review and Report of Forty-Three Cases , Surg., Gynec. & Obst. 64:1005-1014 ( (June) ) 1937. 5. Mitchell, O. W. H.; Bryant, T. L., and Chapman, O. D.: Morbidity and Mortality in New York State (Exclusive of New York City) Based on General Hospital Reports for Years 1932-1936 Inclusive , New York State J. Med. 38:1022-1025 ( (July 15) ) 1938. 6. (a) Pasternack, J. G.: The Cardiorenal Toxic Properties of the Toxin of Vibrion Septique in Animals , Am. J. Path. 14:683-684 ( (July) ) 1938. 7. (b) Pasternack, J. G., and Bengston, I. A.: The Experimental Pathological Changes Produced by the Toxin of Clostridium Histolyticum in Animals , Pub. Health Rep. 55:775-784 ( (May 3) ) 1940 8. The Experimental Pathology and Pathologic Histology Produced by the Toxin of Vibrion Septique in Animals, Bulletin 168, United States Treasury Department, Public Health Service, National Institute of Health, 1936. 9. Weinberg, M., and Sequin, P.: La gangrené gazeuse , Paris, Masson & Cie, 1918. 10. Gay, F. P., and others: Agents of Disease and Host Resistance , Springfield, Ill., Charles C. Thomas, Publisher, 1935. 11. Ranson, F. T.: Notes on Gunshot Wounds of the Chest , J. Thoracic Surg. 9:278-290 ( (Feb.) ) 1940. 12. Gage, I. M.: Gas Bacillus Infection: A Frequently Unnoticed Source in Civil Life, with Report of Four Cases , Am. J. Surg. 14:177-184 ( (Oct.) ) 1926. 13. Schenken, J. R.: Personal communication to the author. 14. Graham, E.: Year Book of General Surgery , Chicago, The Year Book Publishers, Inc., 1939, p. 95. 15. Keating, P. M., and Davis, F. M.: Prophylactic Treatment of Wounds in War , Mil. Surgeon 86:235-240 ( (March) ) 1940. 16. (a) Kelly, J. F., and Dowell, D. A.: Present Status of the X-Rays as an Aid in the Treatment of Gas Gangrene , J. A. M. A. 107:1114-1118 ( (Oct. 3) ) 1936. 17. (b) Kelly, J. F.; Dowell, D. A.; Russum, B. C., and Colien, F. E.: Practical and Experimental Aspects of Roentgen Treatment of Bacillus Welchii and Other Gas-Forming Infections , Radiology 31:608-619 ( (Nov.) ) 1938. 18. Faust, J. J.: Report on X-Ray Treatment in Gas Gangrene Cases , Radiology 22:105-106 ( (Jan.) ) 1934.
Archives of Surgery – American Medical Association
Published: Aug 1, 1940