The surgical assistant, a manual for students, practitioners, hospital internes and nurses . git may be thrustthrough a small opening in a towel or compress of the segment to be ablated is gangrenous or infected itshould be wrapped in, or held in, a piece of gauze. OSTEOTOMY FOR OSTEOMYELITIS. The instruments needed are: scalpels; mouse-tooth andanatomical forceps; straight and curved scissors; probe;sharp retractors; periosteal elevator (appendix, fag. 77); Osteotomy for Osteomyelitis. 297 raspatory; dressing forceps; sequestrum forceps ; hem-ostats; small sponge carriers; chisels an
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . git may be thrustthrough a small opening in a towel or compress of the segment to be ablated is gangrenous or infected itshould be wrapped in, or held in, a piece of gauze. OSTEOTOMY FOR OSTEOMYELITIS. The instruments needed are: scalpels; mouse-tooth andanatomical forceps; straight and curved scissors; probe;sharp retractors; periosteal elevator (appendix, fag. 77); Osteotomy for Osteomyelitis. 297 raspatory; dressing forceps; sequestrum forceps ; hem-ostats; small sponge carriers; chisels and gouges; mallet;rongeurs; Volkmann bone curettes (sharp spoons, appendix,fig. lo) ; [bone drill (appendix, fig. 76)] ; suturing imple-ments ; catgut sutures; a few ligatures. Bits of sea-sponge;a constrictor; an irrigator; and splints should also beready. The constrictor is applied, as for an amputation. Instru-ments are handed in the following order: scalpel, mouse-tooth forceps, sharp retractors, periosteal elevator or raspa-tory, chisel and mallet (see figures 38 and 39) and then, as. Fig. 116. Removing chips of bone and sponging pus, etc., in operation forosteomyelitis. the case requires, gouges, curettes, sequestrum forceps, ron-geurs or bone drill. The assistants further duties consistchiefly in exposing the bone by retraction of the divided softparts and, later, in keeping the bone cavity clear. For thelatter purpose he should hold in one hand a dressing forcepsto separate and remove each bone fragment as it is cut withthe chisel, while with the other hand he mops out the cavitywith small or large pieces of sponge, as described for mas- 298 The Surgical Assistant. toid operations. When the osteotomy is completed the boneis washed out with sublimate solution, i-iooo. If the wound is left open the assistant provides gauzepackings and an abundant absorbent dressing, [splint] andbandages. If a bone flap has been made (osteoplasticmethod), a gauze drain is needed, and suture
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
