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Amputation

    The most common Civil War surgery was amputation. Due to the amount of amputations completed, Civil War Surgeons were portrayed as heartless individuals. In fact, they were sometimes called butchers. 

    Slow moving Minie bullets, used during the Civil War, caused much injury. Hip amputations had mortality rates of around 83%. An upper army amputation had a mortality rate of about 24%. The closer to the body the amputation was the more likely it was to be mortal. 3/4 wounded were to the extremities. The Federal Army had about 30,000 amputation.1

    To begin the surgeon would administer chloroform to the patient. Then the surgeon would make incisions through the muscles and skin down to the bone with his scalpel, leaving flaps of skin on both sides. Using his bone saw he would cut through the bone. Then he would throw the limb into a pile of limbs. He would tie off the arteries with rather horsehair, silk or cotton threads. The surgeon would then scrape and sand the edges of the bone until it was smooth, so it would not tear through the skin. The flaps of skin left by the surgeon would be pulled across and sewed closed, leaving a drainage hole. Finally the stump would be covered with isinglass plaster and bandaged. The soldier would eventually wake up thirsty and in pain.

    This method was called the Flap Method. Where two long flaps of skin and tissue were cut and folded over and formed a stump. The other method was called circular method. This method involved skin and tissue rolled up and then pulled down and sewn closed after the limb was cut off.

    Many soldiers were subject to hospital gangrene, especially after amputation.2

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Amputation Procedure

    The basic Civil War surgeon's kit consisted of two surgical saws, a curved probe retractor, cutting pliers, clamps, brush, and trepanning instruments carried in a plush lined wooden chest.​3

The Erichsen Flap- Amputation (6)

Civil War Surgeon's Kit (8)

Hand Amputation (7)

Amputation Being Performed in a Hospital Tent (5)

Civil War Surgeon's Kit (9)

Soldier Amputee (4)

1. Goellnitz, Jenny. "Civil War Battlefield Surgery." ehistory. Accessed May 21, 2017. https://ehistory.osu.edu/exhibitions/cwsurgeon/cwsurgeon/amputations. 

2. Boyd, Jane, E. "Instruments and Techniques." Pennsylvania Civil War 150. Accessed May 21, 2017. http://pacivilwar150.com/ThenNow/Medicine/ InstrumentsTechniques.html. 

3. IBID

4. Leg Amputee. Photograph. Wikimedia Commons. Accessed May 21, 2017. https://commons.wikimedia.org/wiki/File:Wbell-leg-amputation.jpg.

5. Amputation Being Performed in a Hospital Tent. Photograph. Wikimedia. Accessed May 21, 2017. https://commons.wikimedia.org/wiki/ File:Amputation_being_performed_in_a_hospital_tent,_Gettysburg,_07-1863_-_NARA_-_ 520203.jpg.

6. The Erichsen Flap. Photograph. The Courier. Accessed May 21, 2017. http://www.thecourier.com.au/story/3812559/ life-and-death-on-the-ballarat-diggings/. 

7. Minor Surgery and Bandaging. Photograph. Flickr. Accessed May 21, 2017. https://www.flickr.com/photos/internetarchivebookimages/14598207170. 

8. Medical Antiques. Photograph. Pinterest. Accessed May 21, 2017. https://www.pinterest.com/pin/212372938649948227/. 

9. Unforgettable, Wounded Thousands. Photograph. Civil War Scholars. Accessed May 21, 2017. http://civilwarscholars.com/2012/07/ unforgettable-wounded-thousands-3-women-remember-shepherdstown-va-september1862/. 

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