Lectures on the American eclectic system of surgery . position; 2d, when the instrument is held in the hand like acommon table fork (Fig. ~Eo. 24); and 3d, at the points of thethumb and two or more fingers, like the bow of a violin. The webs of cellular tissue, or more membranous fascia?,are to be raised and kept tense, so that the smallest possible cutat the right point may sufiice. For holding up these parts, inoperating on the living flesh, the fingers should be made use ISSUES, CAUTERIES, INOCULATION, ETC. 573. of, where practicable, instead of the forceps or tenaculum, aspinching with the
Lectures on the American eclectic system of surgery . position; 2d, when the instrument is held in the hand like acommon table fork (Fig. ~Eo. 24); and 3d, at the points of thethumb and two or more fingers, like the bow of a violin. The webs of cellular tissue, or more membranous fascia?,are to be raised and kept tense, so that the smallest possible cutat the right point may sufiice. For holding up these parts, inoperating on the living flesh, the fingers should be made use ISSUES, CAUTERIES, INOCULATION, ETC. 573. of, where practicable, instead of the forceps or tenaculum, aspinching with these is not only likely to give pain, but to injureor kill the parts contused. The fingers should also be Flg# 24- made as far as may be, to dothe work of +he scalpel it-self. When the differenttissues or layers are torn,instead of being cut asunder,the division is more likelyto be, in the sense we arenow using the word, a true dissection, and injury ofeven the smallest nerves andand vessels less likely to oc-cur. When small vessels aretorn, they will not bleed as when they are cut. Issues, Cauteries, Inoculation, etc, When it is designed to set up and keep up a suppurative drainfrom a particular point, the object is sometimes effected bysimply opening the integuments with a lancet, and insertingsome foreign substance, as a pea, to act as a constant mechanical issues may prove very mischievous if too neara bony prominence, or where they would interfere with the freeplay of the muscles or tendon
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Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky
