. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, to its use in producingcounter-irritation and revulsion, is often employed to con-trol hemorrhage and to destroy morbid growths. Paquelins Thermo-cautery.—A very convenient andefficient means of using the thermo-cautery is the appa-ratus of Paquelin, which utilizes the property of heatedplatinum-sponge to become incandescent when exposedto th


. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, to its use in producingcounter-irritation and revulsion, is often employed to con-trol hemorrhage and to destroy morbid growths. Paquelins Thermo-cautery.—A very convenient andefficient means of using the thermo-cautery is the appa-ratus of Paquelin, which utilizes the property of heatedplatinum-sponge to become incandescent when exposedto the vapor of benzole or rhigolene (Fig. 136). Thecautery is prepared for use by attaching the gum tube tothe receiver containing benzole, and heating the platinumknife or button, which also is attached to the benzole re- PA Q UELINS THERMO-CA UTER Y. 191 ceiver by a rubber tube, in the flame of the alcohol lampfor a few moments, and then passing the vapor of benzolethrough the platinum-sponge, which is enclosed in theknife or button, by compressing the rubber bulb. Thepoint may be brought to a white heat or only to a dull-red heat. This form of cautery may be employed for the samepurposes as is that previously mentioned; its great advan- Fig. Paquelins cautery. tage consists in the ease with which it can be prepared foruse. The knives heated to a dull-red heat will be foundof great service in operating upon vascular tumors, wherethe use of an ordinary knife would be accompanied byprofuse or even dangerous hemorrhage. Wounds madeby the actual cautery are aseptic wounds, and when dustedwith an antiseptic powder generally heal promptly underthe scab without suppuration. 192 MINOR SURGERY. BLOODLETTING. This procedure is often resorted to, to obtain both thelocal and the general effects following the withdrawal ofblood from the circulation. Local depletion is accom-plished by means of some one of the following procedures :scarification, pnnctxiration, cupping, and leeching; a


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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902