The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . o preventundue pressure on the canal is also shown. After Bourgery and Jacob. Fig. 4. Operation of puncturing the Lachrymal Sac of the Left Eye in casesof obstruction. The forefinger of an assistant is represented making traction onthe lid so as to render the position of the palpebral ligament apparent, if theswelling and inflammation permit it. A straight, narrow bistoury has punctur
The principles and practice of surgery: embracing minor and operative surgery : with a bibliographical index of American surgical writers from the year 1783 to 1860 : arranged for the use of students (Volume 2) . o preventundue pressure on the canal is also shown. After Bourgery and Jacob. Fig. 4. Operation of puncturing the Lachrymal Sac of the Left Eye in casesof obstruction. The forefinger of an assistant is represented making traction onthe lid so as to render the position of the palpebral ligament apparent, if theswelling and inflammation permit it. A straight, narrow bistoury has puncturedthe integuments and anterior face of the sac, and, while retained in its position,a probe has been along the blade of the knife into the duct and thenceinto the nose. After Bernard and Huette. Fig. .5. Operation upon the Right Eye ; the bistoury, after puncturing the sac,has been retained in its position until Wares style could be introduced. Thisis now seldom resorted to. Modified from Bernard and Huette. Fig. 6. Fistula Lachrymalis, and the introduction of a bougie into the ductthrough the fistulous orifice, as formerly practiced. After Bernard and Huette(90) Plate n li^.^ ^J^l^le^ /..., V,:--.
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