A system of surgery : pathological, diagnostic, therapeutic, and operative . s. 185-6-7, usually known as Listons,although long ago described and delineated byScultetus, should be at hand, of various shapesand sizes, as they may frequently be employedwith great advantage in places where it is impos-sible to introduce and work the saw. The surgeonshould also be provided with several gouges andchisels, a strong mallet, trephines, scrapers, anda large elevator, together with a thick leatherstrap or leaden spatula for protecting the softparts during the division of the bone, suitableinstruments fo
A system of surgery : pathological, diagnostic, therapeutic, and operative . s. 185-6-7, usually known as Listons,although long ago described and delineated byScultetus, should be at hand, of various shapesand sizes, as they may frequently be employedwith great advantage in places where it is impos-sible to introduce and work the saw. The surgeonshould also be provided with several gouges andchisels, a strong mallet, trephines, scrapers, anda large elevator, together with a thick leatherstrap or leaden spatula for protecting the softparts during the division of the bone, suitableinstruments for holding the flaps apart, and asyringe for washing out the wound or clearingaway sawdust and the debris of diseased boneand cartilage. From this catalogue of instruments I havepurposely excluded the tourniquet, which is notonly unnecessary, but absolutely hurtful in ex-cision of the bones and joints. If proper care is used, the surgeon will seldom lay open any of the more important arteries,none certainly which may not be readily secured by the ligature; there is, there-. Chain saw. Fig. 185. Fig. 186. Fig. 187. 9>
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