Minor surgery, or, Hints on the every-day duties of the surgeon . use, as adirty lancet frequently causes abscesses of the part,gives rise to phlebitis, and endangers the life of thepatient. If the opening in the skin and that inthe vein do not correspond, a bloody tumour, calleda Thrombus, will be formed from the blood escap-ing into the subcutaneous cellular substance. Toremove this, enlarge the opening in the skin, andpress upon the tumour ; or else leave it to be ab-sorbed by nature, assisted by moderate pressure. MINOR SURGERY. 281 In Bleeding in the Hand, the only rule is toopen with a t
Minor surgery, or, Hints on the every-day duties of the surgeon . use, as adirty lancet frequently causes abscesses of the part,gives rise to phlebitis, and endangers the life of thepatient. If the opening in the skin and that inthe vein do not correspond, a bloody tumour, calleda Thrombus, will be formed from the blood escap-ing into the subcutaneous cellular substance. Toremove this, enlarge the opening in the skin, andpress upon the tumour ; or else leave it to be ab-sorbed by nature, assisted by moderate pressure. MINOR SURGERY. 281 In Bleeding in the Hand, the only rule is toopen with a thumb-lancet that vein which is mosteasily seen ; these are generally the vena Salvatella,or the cephalic of the thumb: avoiding the tendons,and also guarding against a deep puncture for fearof injuring the parts beneath. Bleeding in the Jugular Vein is seldom prac-tised, on account of the danger of the introductionof air into the vein. When, however, it is deemednecessary, it should be done as follows: — Place a thick, graduated compress on the rootFig. of the vein just above the clavicle, and fix it bya narrow cravat, the ends of which should tie onthe opposite axilla; or else apply an oblique ban- 24* 282 MINOR SURGERY. dage of the neck and axilla, as before shown : or,we may compress the vein with the thumb ; thoughby this plan there is more danger of the entranceof air, as the compression is apt to be more imper-fect. If the vein does not become apparent fromthis compression, direct the patient to move thejaws as in mastication ; and when it is filled, openit with a thumb-lancet at its lower third, and placea bent card, or other substance likely to form alittle trough, just below the opening, so as to carrythe blood oft to the receiver and prevent its trick-ling down the side of the patient. Having takenthe amount desired, we close the orifice, as in thearm, by pressure of the thumb and forefinger, andfasten a compress over it by adhesive strips beforeremoving the c
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Keywords: ., bo, bookcentury1800, bookdecade1840, booksubjectwoundsandinjuries
