Miller, Louis a machine readable transcription Susan C. Lawrence Kenneth M. Price Kenneth J. Winkle 2011 med.d1e16190 Civil War Washington University of Nebraska–Lincoln Center for Digital Research in the Humanities
319 Love LibraryUniversity of Nebraska–LincolnLincoln, NE 68588-4100cdrh@unlnotes.unl.edu
 2011

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 The following are responsible for particular readings or for changes to this file, as noted: Matthew Bosley Elizabeth Lorang Stacey Berry Elisabeth Tracey The Medical and Surgical History of the War of the Rebellion. (1861–65.) Surgeon General Joseph K. Barnes, United States Army Washington, D.C. Government Printing Office Part 1 Volume 2 1870 241 Medical and Surgical History of the War of the Rebellion wounds and injuries of the head removal of fragments after gunshot fractures of the skull gangrene Partial necrosis of parietal bone hæmorrhage occurred from temporal artery additional proofing of transcription and encoding case text extracted and transformed from larger file enriched encoding validated file encoded initial checking of OCR text against PDF; encoded

CASE.—Private Louis Miller, Co. D, 46th New York Volunteers, aged 34 years, was wounded at Petersburg, Virginia, June 30th, 1864, by a shell, which fractured the cranium near the superior parietal angle. He was at once admitted to the hospital of the 3d division, Ninth Corps, where fragments of the parietal, temporal, and frontal bones were removed, and the flaps united by a slight suture. On July 3d, he was sent to Washington, and entered Harewood Hospital on the 4th, being somewhat uneasy but not complaining of pain. The pulse was slightly accelerated, tongue clean, and appetite good. Upon removing the suture the wound was found to be full of maggots. The dura mater was exposed for a space about three inches in circumference, and of a greenish color; the pulsations of the brain were distinctly visible. On the 6th, the flaps became gangrenous and were entirely destroyed. The wound was healthy, but the external layer of the dura mater was sloughing. Flax-seed poultices were applied. The upper margin of the wound granulated finely. An incision was made, and a dressing of chlorinated soda was employed. The granulation of upper margin continued healthy. On July 28th, secondary hæmorrhage occurred from the left temporal artery, which was ligated; about ten ounces of blood having been lost. From that time the wound assumed a healthy appearance. Small pieces of bone were removed as they became detached. Partial necrosis of the parietal bone supervened. The necrosed portion, consisting of both lamellae, was removed. The discharge now became less copious, and the wound healed rapidly. Miller was furloughed on November 3d, 1864, returned on the 16th, and was discharged from the service on July 25th, 1865, being, at the time, in very good health. He is not a pensioner. The case is reported by Surgeon R. B. Bontecou, U. S. V.