. Medical and surgical therapy . uch as 100 ofthis solution without the slightest inconvenience,and in some abdominal operations I have gone up to200 without accident, which shows the harmless-ness of this method. Position of the patient.—If it be possible—and incases most suited for operation it generally is possible—the patient is seated on a chair. The best v,ayis to put him astride on the chair, with his armssupported on the back and his head leaning on hisarms. In this way the lateral and posterior portionsof the skull are easily exposed, and the patient canmaintain this positio
. Medical and surgical therapy . uch as 100 ofthis solution without the slightest inconvenience,and in some abdominal operations I have gone up to200 without accident, which shows the harmless-ness of this method. Position of the patient.—If it be possible—and incases most suited for operation it generally is possible—the patient is seated on a chair. The best v,ayis to put him astride on the chair, with his armssupported on the back and his head leaning on hisarms. In this way the lateral and posterior portionsof the skull are easily exposed, and the patient canmaintain this position for a very long time withoutfatigue. For an operation on the frontal region the 786 WOUNDS OF THE SKULL patient sits down and throws his head back andrests it on the edge of the operating table. Withthe co-operation of my friend, Dr Mondain, I havehad a special chair made, which M. Malaquin hasbeen so good as to construct. Pretty often the patient has to be laid on theoperating table, either because he is unconscious, or. Fig. 11.—The patient is operated upon in the sitting position. Fromright to left are shown the positions to be taken for operationson the occipital, frontal, and parietal regions respectively. because some other wound prevents his being such cases the head must be raised, which is easywith the tables generally used. The operator shouldthen stand on something while operating, otherwisehe is too low, and is obliged to operate with his elbowsin the air, which is very inconvenient. Before applying the ansesthetic the operator shouldsatisfy himself as to the possibility of cutting anosteo-plastic flap, and also as to the proper size ofthe flap. It is possible to operate in this way when- TREATMENT OF WOUND OF SKULL 787 ever there is no considerable loss of bone, which ismost frequently the case. In very large woundswith great loss of tissue, in which the skull has beenwidely opened, this method cannot be employed. Ishall return to the subject la
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
