Operative surgery . Fig. 269.—Raising a depressed fragmentwith an elevator passed through a tre-phine opening. OPERATIONS ON THE NERVOUS SYSTEM. 235. Fig. 370.—Fracturesof skull. Depressedfragments. Com-pression of brainfrom bone andblood. Illustratesneed of care in ma-nipulation of bonyfraijments. and to pry it into place through the agency of the linger or the solid boneborder (a), acting as a fulcrum. Great care must be taken in doing this orthe sudden giving way or tilting of the fragment will injure the soft parts,and also disconnect the fragment from nutrient asso-ciations. The utilizati
Operative surgery . Fig. 269.—Raising a depressed fragmentwith an elevator passed through a tre-phine opening. OPERATIONS ON THE NERVOUS SYSTEM. 235. Fig. 370.—Fracturesof skull. Depressedfragments. Com-pression of brainfrom bone andblood. Illustratesneed of care in ma-nipulation of bonyfraijments. and to pry it into place through the agency of the linger or the solid boneborder (a), acting as a fulcrum. Great care must be taken in doing this orthe sudden giving way or tilting of the fragment will injure the soft parts,and also disconnect the fragment from nutrient asso-ciations. The utilization of the rongeur and the mal-let and gouge (Fig. 2f)5, /, g, s) to liberate the pointsof impaction and Ijinding makes the elevation of thefragments easier and safer (Fig. 271). Projectingpoints of bone are cut away and loose portions aresought for, especially beneath the bony border of thewound (Fig. 272). The loose pieces of bone are keptand fitted to each other to ascertain if any portionof bone be missing, especially if the membranes havebeen lacerated, for then a portion of bone may bedriven into the brain and remain there
Size: 1128px × 2215px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
