A system of surgery . frequently give rife to trouble-fome colledlions of matter. In paffing the pins through the difFererltfides of the wound, if the £kin and otherteguments are not more firm than ordi-nary, it may commonly be done by thefingers alone, and particularly if the pinsare made with fmall heads or knobs forthe fingers to prefs upon; but when firm-nefs of parts and other circumftances ren-der the entrance of the pins difficult, theinftrument termed Porteaiguille very ef-fetlnally removes this inconvenience.—InPlate II. is reprefented the moft convenientforn^ of this inftrument that


A system of surgery . frequently give rife to trouble-fome colledlions of matter. In paffing the pins through the difFererltfides of the wound, if the £kin and otherteguments are not more firm than ordi-nary, it may commonly be done by thefingers alone, and particularly if the pinsare made with fmall heads or knobs forthe fingers to prefs upon; but when firm-nefs of parts and other circumftances ren-der the entrance of the pins difficult, theinftrument termed Porteaiguille very ef-fetlnally removes this inconvenience.—InPlate II. is reprefented the moft convenientforn^ of this inftrument that has yet beeninvented. The firft pin being paiTed in this man-ner very near to one end of the fore,and the parts being ftill fupported by anafiirtant, the furgeon, by means of a firmwaxed ligature paflcd three or four timesround and acrofs the pin, fo as nearly todefcribe the figure ^f 8, is to draw theparts through which it has pafTed intoclofe conta(5l; and the thread being now3 , fecured Plafe IT. rJy^f^. ^ y- ^/(/. ^- 3j,. 3. II I Q .^.^. ^ ,^/.a//,,/y Of Sutures, 33 now fecured wkh a loofe knot, another pinmult be introduced in the fame manner ata proper diftance from the former; andthe thread with which the other wasfixed, being loofedj andin the fame man-ner carried round this pin, others mud beintroduced at proper difhances along thewhole courfe of the v/ound, and the fameligature oughc to be of a fufficient .lengthfor fecuring the whole. The number of pins to be ufed, mudbe determined entirely by the extent of thewound. Whenever the futurCj however,is pradlifed, whether the wound be largeor of very fmall extent, a pin ought to beintroduced very near to each end of it,otherwife the extremities of the fore areapt to feparate fo as not to be afterwardseafily reunited. In large wounds, if thepins be introduced at the diftance of threequarters of an inch from one another, itwill in general be found fufficient j but, incuts of fmaller extent^ a greater number


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Keywords: ., bookauthorbellbenjamin17491806, bookidsystem, booksubjectsurgery