A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . Fig. 67.—Scissors-Perforator. brain, and a syringe to wash out the contents of the accomplished, the cranioclast or craniotractor—a betterterm, since it defines the purpose of the instrument—comesinto play. The best instrument is that of Karl Braun. The steps of the operation are the following: The external. Fig. Brauns Cranioclast. genitals and the vagina having been thoroughly asepticized, thewoman is placed on a table, the bed not sufficing for any of themajor obstet
A text-book of practical obstetrics, comprising pregnancy, labor, and the puerpal state, and obstetric surgery . Fig. 67.—Scissors-Perforator. brain, and a syringe to wash out the contents of the accomplished, the cranioclast or craniotractor—a betterterm, since it defines the purpose of the instrument—comesinto play. The best instrument is that of Karl Braun. The steps of the operation are the following: The external. Fig. Brauns Cranioclast. genitals and the vagina having been thoroughly asepticized, thewoman is placed on a table, the bed not sufficing for any of themajor obstetric operations. The instruments are sterilized andthe hands of the operator and of his assistant are carefully 150 OBSTETRIC SURGERY. cleansed. Too much care in this respect is not possible, sincethe sole risk in expert hands to which the woman is subjectedis septic infection. If the woman be not excessively nervous,and the operative indication be not an extreme one, anaesthesiais not absolutely essential. In view, however, of its safety, wealways counsel it. The bladder having been emptied by catheter, the womanis placed in the lithotomy position and we proceed as follows:— (a) Craniotomy of the Before-coming Read.—The foetalhead should be steadied at the brim through supra-pubic pressuremade by an assistant. The operator determines the position ofthe head through vaginal examination and selects the preferablepoint for
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Keywords: ., bookcentury1800, bookdecade1890, bookpubli, booksubjectobstetrics
