Operative surgery, for students and practitioners . base. Bleeding points are secured with strong, narrow-nosedhemostats. At times the hemorrhage from the soft parts is veryprofuse, especially in the presence of the increased intracranial pres-sure that accompanies tumor, large blood and pus collections withinthe skull, and means must be taken to prevent excessive loss of to the plan of Gushing, this is accomplished by encircling OPERATIONS UPON THE HEAD. 85 the head, just above the ears, with a strong elastic constricting band,which is prevented from slipping down over the fac
Operative surgery, for students and practitioners . base. Bleeding points are secured with strong, narrow-nosedhemostats. At times the hemorrhage from the soft parts is veryprofuse, especially in the presence of the increased intracranial pres-sure that accompanies tumor, large blood and pus collections withinthe skull, and means must be taken to prevent excessive loss of to the plan of Gushing, this is accomplished by encircling OPERATIONS UPON THE HEAD. 85 the head, just above the ears, with a strong elastic constricting band,which is prevented from slipping down over the face by a strip oftape which occupies the middle (sagittal) line and secures the con-stricting band in front and behind. This arrangement may be adaptedto the size of the patients head before operation, and is then sterilizedand ready for use. It is applied over a sheet of gauze which coversthe patients head. The sheet of gauze may be cut into four quartersby a crucial cut, and the four ends of the gauze turned down overthe patients ears, face, Fig. 55.—Kredels Blocks in Position. Above a single block and a cross-section of the same. The method of Heidenhain for controlling hemorrhage consistsin applying a line of suture with a heavy silk thread—back-stitchfashion—^beyond and all around the line of the proposed incision inthe scalp. This suture is introduced with a heavy, curved needle,and each stitch penetrates the entire thickness of the scalp down tothe bone, taking a good, secure bite. Kredels metal blocks may beused. These are grooved and notched at the extremities and areapplied all around, beyond the line of the proposed flap. Longstitches of heavy silk are carried under the scalp so as to secure itsentire thickness, and these are tied over the blocks. The suturesare prevented from slipping by the grooves and notches in the from the edges of the flap itself is controlled by hemostats 86 HEAD AND FACE. and ligatures. Corresponding to the edges o
Size: 1692px × 1477px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookauthormcgrathj, bookcentury1900, bookdecade1910, bookyear1913
