A system of surgery : pathological, diagnostic, therapeutic, and operative . t is doubtful whether the mis-sile has really lodged, or when the missileis retained, but cannot be distinguishedfrom bone, Nelatons probe, consistingof a metallic rod, the extremity of whichis tipped with a small olive-shapedpiece of white, unvarnished porcelain,capable, when rubbed against a bullet,of receiving a stain from it, will affordthe most satisfactory result, as I cantestify from personal observation. Theinstrument being withdrawn, any bloodor pus that may have collected upon itsbulb should be washed off wi
A system of surgery : pathological, diagnostic, therapeutic, and operative . t is doubtful whether the mis-sile has really lodged, or when the missileis retained, but cannot be distinguishedfrom bone, Nelatons probe, consistingof a metallic rod, the extremity of whichis tipped with a small olive-shapedpiece of white, unvarnished porcelain,capable, when rubbed against a bullet,of receiving a stain from it, will affordthe most satisfactory result, as I cantestify from personal observation. Theinstrument being withdrawn, any bloodor pus that may have collected upon itsbulb should be washed off with a streamof water, in order that the stain, if anyexist, may be brought into full view. The bullet being found, the forcepstake the place of the probe, the bladesbeing firmly closed as they pass alongthe track until the point comes in contactwith the extraneous substance, whichis then seized and extracted, care beingtaken not to include any of the surrounding tissues. Occasionally the operatorwill derive important aid in his manipulations from counter-pressure, the hand. The old buUet forceps. Thoinassins forceps. 876 WOUNDS. CHAP. X. or the thumb and a few fingers being applied to the opposite side of the woundedparts. Bullet-forceps arid extractors, of various forms and sizes, are in use. Themost important qualities of such instruments are lightness, strength, and slen-derness, with length of blade, which should not be less than four inches. Theextremity should be well rounded off, and fashioned in such a manner as toadapt itself readily to the shape of the foreign body, and at the same time graspit with great firmness, without the risk of including any of the adjacent struc-tures. The old forceps, fig. 89, did good service during the reign of the roundball, but will hardly answer for the extraction of the conical. For the latterpurpose Mr. Tiemann, of New York, has reintroduced, to the notice of theprofession, the ingenious instrument depicted in fig. 90, and devised by Th
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
