Modern surgery, general and operative . Fig. 532.—Combined osteoplastic step. Bone flap turned down. Fig- 533.—Combined osteoplastic step. Showing exposure of brain bj re-moval of dural flap. first of all, for diagnosis. The incision shown in Fig. 531 is made throughthe scalp and periosteum, and the flap is tacked to the bone, ordinar\^ long 828 Diseases and Injuries of the Head tacks being used. Otherwise our manipulations may separate the flap fromthe bone (Fig. 531). A groove corresponding to this incision may be cutin the bone by special gouges or chisels.
Modern surgery, general and operative . Fig. 532.—Combined osteoplastic step. Bone flap turned down. Fig- 533.—Combined osteoplastic step. Showing exposure of brain bj re-moval of dural flap. first of all, for diagnosis. The incision shown in Fig. 531 is made throughthe scalp and periosteum, and the flap is tacked to the bone, ordinar\^ long 828 Diseases and Injuries of the Head tacks being used. Otherwise our manipulations may separate the flap fromthe bone (Fig. 531). A groove corresponding to this incision may be cutin the bone by special gouges or chisels. I do not use chisels. I am con-vinced that the blows of the mallet add to shock, may cause hemorrhageor add to existing hemorrhage, may extend a hne of fracture or cause afracture, may diffuse a purulent collection, or produce concussion of thebrain. Some surgeons use the surgical engine. It is difficult to keep it sterile,it runs at too high a speed to be readily controlled, and it is troublesome tocut a bevel with it. The instrum
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
