Abdominal surgery . them Adhesions of some de-gree of firmness, if broad, mustbe separated by fingers : if longor thin, or of the bulk that mightbe classed as bands, they aredivided by scissors betweenpairs of catch-forceps. Verydense, broad, and sessile adhe-sions are divided by scissors;while forceps or ligature, as mayseem most suitable, checks thebleeding as it arises. The best form of forceps foradhesions is, I think, Taitsmodification of Koeberles in- Taits modification of Koeberles CatchForceps. Two-thirds size, strument. (Fig. 6.) But Wellss in-strument is almost equally good, andsurge
Abdominal surgery . them Adhesions of some de-gree of firmness, if broad, mustbe separated by fingers : if longor thin, or of the bulk that mightbe classed as bands, they aredivided by scissors betweenpairs of catch-forceps. Verydense, broad, and sessile adhe-sions are divided by scissors;while forceps or ligature, as mayseem most suitable, checks thebleeding as it arises. The best form of forceps foradhesions is, I think, Taitsmodification of Koeberles in- Taits modification of Koeberles CatchForceps. Two-thirds size, strument. (Fig. 6.) But Wellss in-strument is almost equally good, andsurgeons who may have becomeaccustomed to its use will desirenone better. The advantage thatTaits forceps possesses is in itssharp points, which can scarcelybe included in the ligature. Bothinstruments are superior to Peansolder forceps, in being muchstronger, smaller, and more easilyhandled. These instruments are sowell known, being in the hands ofalmost every operating surgeon, thatdetailed description is Fig. 7. Wellss Large Pressure blades bent at obtuse One-third size. Forceps,angle. 76 OPERATIVE SURGERY OF ABDOMEN. Besides these straight small forceps, others, bent at variousangles (Figs. 7 & 8), or T-shaped (Thorntons, Fig. 9) and oflarger size, will be constantly found of use. Wellss large forceps(Fig. 10), on the same plan as his small one, is invaluable formany purposes. Straight forceps of medium size are very have invented an instrument which combines cutting withcrushing, and which I havefound of benefit in giving abloodless division of thinflat adhesions. A knife isconcealed in the powerfulblades of a compressionforceps, and divides theadhesion between the linesof crushing. (Fig. 11.) Avery large and powerfulT-shaped forceps I havefound ver}^ valuableSpecial instruments arenecessary for special oper-ations: these will bedescribed in their properplaces. At the end of a difficultoperation, as many as twoor three dozens of catchforceps may be clingi
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