. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, are applied when thesurfaces of the wounds are covered by granulations, whenthe primary sutures have failed to secure apposition of theedges of the wound, in cases of secondary hemorrhagewhere the opening of the wound has been necessitated toturn out the blood-clot and secure the bleeding vessel, andin plastic operations where the primary sut
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, are applied when thesurfaces of the wounds are covered by granulations, whenthe primary sutures have failed to secure apposition of theedges of the wound, in cases of secondary hemorrhagewhere the opening of the wound has been necessitated toturn out the blood-clot and secure the bleeding vessel, andin plastic operations where the primary sutures have failedto secure adhesions of the edges of the flaps. They arealso employed with advantage in closing wounds in casesin which it was necessary to pack the wound with anti-septic gauze, or to allow haemostatic forceps to remainclamped upon bleeding tissues in the wound at the time ofoperation. The sutures should in such a case be intro-duced and loosely tied at this time, and when the packingor forceps is removed at the end of two or three days thesutures are tightened so as to secure apposition of theedges of the wound. Surgical Needles.—Needles for surgical use are ofdifferent sizes and shapes (Fig. 187); straight needles are Fig. Surgical needles. the ones commonly employed, but curved needles will befound most convenient for the introduction of suturesin wounds in certain locations. Hagedorn needles, which 270 MINOR SURGERY. are flat and have sharp-cutting edges, make a narrowlinear wound in the tissues, and are useful in somecases. For the introduction of sutures in the intestinesor hollow viscera, the ordinary sewing-needle is generallyemployed, as it does not cut the tissues, but merely sepa-rates them, and its puncture is not likely to bleed. Tubu-lar needles are often employed in introducing sutures inwounds in which the use of an ordinary needle is diffi-cult : for instance, in the operation for cleft palate, and forthe introduction of sutures in deep
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
