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Original brown leather binding, black spine label. Rubbing along edges, corners bumped and rubbed, spine tears at the bottom, leather torn/chipped in the front and back, outer edges have light stains. Clean text, excepting for a pencil marked noted on one page. Binding is in good condition. An Improved American Edition from the Second Enlarged and Carefully Revised London Edition. 996 pages plus a 30 page summary of Blancard & Lea's Medical and Surgical Publications. 61 chapters. The general arrangement of the book is divided into 3 parts: Division First which discusses Operations in General, Amputations and Vascular and Congestion; Division Second - Surgical Injuries; Division Third: Surgical Diseases.