The surgeon's handbook on the treatment of wounded in war : a prize essay . Biting off the edge of bone in a fracture of the skull with LUERSgouge-forceps. 280 (fig. 498) are most conveniently used, if the outer opening is big enoughto push one blade of the forceps beneath the bone. Although only a Fig. HOFFMANNS gouge-forceps. small piece is ever removed at a time with these instruments from theedge of the fracture, yet the opening can be quickly enlarged in everydirection. 4. If there is not a large opening in the skull, but only a narrowfissure, which has to be widened, the gouge is u
The surgeon's handbook on the treatment of wounded in war : a prize essay . Biting off the edge of bone in a fracture of the skull with LUERSgouge-forceps. 280 (fig. 498) are most conveniently used, if the outer opening is big enoughto push one blade of the forceps beneath the bone. Although only a Fig. HOFFMANNS gouge-forceps. small piece is ever removed at a time with these instruments from theedge of the fracture, yet the opening can be quickly enlarged in everydirection. 4. If there is not a large opening in the skull, but only a narrowfissure, which has to be widened, the gouge is used; the best instru-ments for this purpose are the common carpenters chisel, and awooden mallet, with which small sharp blows are dealt upon the chiselobliquely placed upon the bone (fig. 499). If the opening has beencarefully widened, in this manner, so that the gouge-forceps can beemployed, the opening is enlarged with this instrument in the mannerpreviously described. , 5. As soon as the object, which is compressing or penetrates thedura mater, is sufficiently exposed, it is raised with the elevator, seizedwith dressing- or vulsellum-forceps, and carefully extracted. If itclings firmly to the dura mater, it must not be torn out by force, butloosened by notching the membrane. 6. If a metal point, f
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Keywords: ., book, bookcentury1800, booksubjectwoundsandinjuries, bookyear1884
