The homeopathic practice of surgery : together with operative surgery . than its point isbrought into use. In opening buboes and other large abscessesthe bistoury is often a more available instrument. Mere punctur-ing is occasionally all that is required, as in certain operations onthe eye, and in letting off serum from other parts, in anasarca forinstance. But the needle, lancet and bistoury are not the onlyinstruments which the operator should be skilled in the use of, for DISSECTING — is sometimes necessary On the living body, as well as thedead. In taking out certain tumors and making deep
The homeopathic practice of surgery : together with operative surgery . than its point isbrought into use. In opening buboes and other large abscessesthe bistoury is often a more available instrument. Mere punctur-ing is occasionally all that is required, as in certain operations onthe eye, and in letting off serum from other parts, in anasarca forinstance. But the needle, lancet and bistoury are not the onlyinstruments which the operator should be skilled in the use of, for DISSECTING — is sometimes necessary On the living body, as well as thedead. In taking out certain tumors and making deep incisionsfor other purposes, a careful and skillful use of the scalpel is in-dispensable. The mode of proceeding is the same in dissectingfor the practical study of anatomy and in practical surgery. Dissecting, then, should mean the accurate separating of parts,with as little cutting as possible. It is well to practice three dis-tinct ways of holding and using the scalpel: — 1st, between thethumb and two fingers, as a pen in writing (Fig. No. 18), which Fig. DISSECTING — CAUTERIZING — SETONS, AC. 15 is generally the most proper and convenient position; 2d, whenthe instrument is held in the hand like a common table fork(Fig. No. 19); and 3d, at the points of the thumb and two ormore fingers, like the bow of a violin. The webs of cellular tissue, or more membranous fasciae, areto be raised and kept tense, so that the smallest possible cut atthe right point may suffice. For holding up these parts, in op-erating on the living flesh, the fingers should be made use of,where practicable, instead of the forceps or tenaculum, as pinch-ing with these is not only likely to give pain, but to Fig. 19. injure or kill the partscontused. The fingersshould also be made asfar as may be, to do thework of the scalpel the different tis-sues or layers are torn,instead of being cut asun-der, the division is morelikely to be, in the sensewe are now using theword, a true disse
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