The homeopathic practice of surgery : together with operative surgery . s a bandage made of a sheet, folded about half a yard widearound the abdomen, let it cross behind his back, and put the endsin the hands of two assistants, who must be directed to draw soas to tighten it as you desire, while the fluid escapes. It is wellto have this bandage cover the whole abdomen, having a hole init through which to operate. The surgeon should then make acut a half or three-fourths of an inch in length (according to thesize of the trochar), with a sharp lancet or bistoury, through theinteguments along the
The homeopathic practice of surgery : together with operative surgery . s a bandage made of a sheet, folded about half a yard widearound the abdomen, let it cross behind his back, and put the endsin the hands of two assistants, who must be directed to draw soas to tighten it as you desire, while the fluid escapes. It is wellto have this bandage cover the whole abdomen, having a hole init through which to operate. The surgeon should then make acut a half or three-fourths of an inch in length (according to thesize of the trochar), with a sharp lancet or bistoury, through theinteguments along the linea alba, two or three inches below theumbilicus. Then introduce a diamond pointed trochar, coveredwith a canula, and pass it on into the cavity (Fig. 128). With-draw the trochar, leaving the canula in the orifice to conduct offthe fluid. The trochar may be pushed in without the previous 198 OPERATIONS ON THE THORAX AND ABDOMEN. lancing; or the whole incision may be made with the lancet, anda blunt tube or canula introduced through the opening thus made. Fig. The fluid is received into a proper vessel, while the assistants aredirected to draw gradually upon the bandage so as to keep a firmpressure upon the abdomen as the fluid escapes, lest by too sud-denly taking off the pressure upon the abdominal vessels, theblood settle down into them from the heart and cause fainting, oreven burst the coats of the vessels and cause fatal internal hem-orrhage. The fluid being drawn off, the patient is put to bed ina horizontal position, the wound closed with an adhesive strap,and a bandage applied round the abdomen. If faintness occur during the flow of the fluid in spite of yourbandage, you must stop the flow; lay the patient down, and waita few hours, or perhaps a day or two, before the remaining por-tion of the fluid is evacuated. OPERATION FOR STRANGULATED HERNIA. Though it is presumed that no one will attempt to operate inthis case who is not at least a tolerable anatomist, it
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