Lectures on the American eclectic system of surgery . In opening bubos and other large abscesses,the bistoury is often a more available instrument. Mere punc-turing is occasionally all that is required, as in certain opera-tions on the eye, and in letting off serum from other parts, inanasarca for instance. But the needle, lancet and bistoury arenot the only instruments which the operator should be skilledin the use of, for Dissecting Is sometimes necessary on the living body, as well as the taking out certain tumors and making deep incisions forother purposes, a careful and skillful u
Lectures on the American eclectic system of surgery . In opening bubos and other large abscesses,the bistoury is often a more available instrument. Mere punc-turing is occasionally all that is required, as in certain opera-tions on the eye, and in letting off serum from other parts, inanasarca for instance. But the needle, lancet and bistoury arenot the only instruments which the operator should be skilledin the use of, for Dissecting Is sometimes necessary on the living body, as well as the taking out certain tumors and making deep incisions forother purposes, a careful and skillful use of the scalpel is indis-pensable. 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 ofparts, with as little cutting as possible. It is well to practicethree distinct ways of holding and using the scalpel: 1st,between the thumb and two fingers, as a pen in writing ( 23), which is generally the most proper and convenient Fig. position; 2d, when the instrument is held in the hand like acommon table fork (Fig. ~Eo. 24); and 3d, at the points of thethumb and two or more fingers, like the bow of a violin. The webs of cellular tissue, or more membranous fascia?,are to be raised and kept tense, so that the smallest possible cutat the right point may sufiice. For holding up these parts, inoperating on the living flesh, the fingers should be made use ISSUES, CAUTERIES, INOCULATION, ETC. 573
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky
