A textbook of obstetrics . r needs a heavy volsella forceps and a large metal catheterto break up the brain and to wash it out of the skull. The technic of the operation is as follows : The womanshould be anesthetized not so much because the operation ispainful or prolonged, but to spare her the sight of her mutilatedinfant. The patient is placed in the lithotomy position, andbrought well to the edge of the bed or table on which she lies. 77 ^ OPERA TIONS. The vagina is scrubbed with tincture of green soap and hotwater nn pledgets of cotton. Following this, a douche ofbichlorid solu
A textbook of obstetrics . r needs a heavy volsella forceps and a large metal catheterto break up the brain and to wash it out of the skull. The technic of the operation is as follows : The womanshould be anesthetized not so much because the operation ispainful or prolonged, but to spare her the sight of her mutilatedinfant. The patient is placed in the lithotomy position, andbrought well to the edge of the bed or table on which she lies. 77 ^ OPERA TIONS. The vagina is scrubbed with tincture of green soap and hotwater nn pledgets of cotton. Following this, a douche ofbichlorid solution, i 14000, is given. The childs scalp is thenseized by a Strong volsella forceps, which is handed to anassistant, who pulls upon the instrument firmly, so as to fix thehead at the superior strait. The operator then inserts twofingers of his left hand, made aseptic, and feels for a suture or afontanel. The perforator is then inserted into the vagina, alongthe palmar surfaces of the fingers, and is plunged into the skull. Fig. 585.—The head after deliver) by the cranioclast. at a point upon which the finger-tips rest—that is, through afontanel or a suture. When it has entered the skull the per-forator is twisted about in all directions, in order to break up thebrain and is also opened in several different directions to enlargethe opening in the skull. The large catheter is next inserted andattached to a Davidson syringe. A column of water is injectedinto the cranial cavity, to wash out the remaining brain-substance. Next, if it is necessary, the size of the emptied head may bereduced with a cephalotiibe. This is only called for in case of EMBRYOTOMY. 713 extreme pelvic contraction, or in the presence of some pelvictumor seriously diminishing the capacity of the pelvic canal. Inthe vast majority of cases a cranioclast should be used insteadof the cephalotribe. The internal branch of this instrument isinserted within the skull. The outer branch is next introduced inthe same
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Keywords: ., bookcentury1800, bookdecade1890, bookidtex, booksubjectobstetrics
