The American practitioner : a monthly journal of medicine and surgery . A needle in the form of a tenaculum, (the eye being nearthe point,) to which Blacks pick-up attachment is applied,greatly facilitates the introduction of sutures. The tenacu-lum is placed in the mouth, and the pick-up shaft in the nose,striding the alveolar and labial tissues in front, and pickingup the stitch in the dark. Figure 19. a a, shaft andhandle of the needle. b>the finger end of the pick-up shaft, which terminatesat d. c, thumb-piece of thepick-up stilette, the point ofwhich is in d. d, the ter-minal end of th
The American practitioner : a monthly journal of medicine and surgery . A needle in the form of a tenaculum, (the eye being nearthe point,) to which Blacks pick-up attachment is applied,greatly facilitates the introduction of sutures. The tenacu-lum is placed in the mouth, and the pick-up shaft in the nose,striding the alveolar and labial tissues in front, and pickingup the stitch in the dark. Figure 19. a a, shaft andhandle of the needle. b>the finger end of the pick-up shaft, which terminatesat d. c, thumb-piece of thepick-up stilette, the point ofwhich is in d. d, the ter-minal end of the pick-upshaft, which receives thepoint of the needle, e, thread, which isseen passing through the eye of the needle,then hidden beneath the tissue engraveddark, and again emerging to be connectedwith the pick-up mechanism. The view istaken at the time when the pick-up stilletteis ready to let go its hold. ft point of theneedle perforated for the passage of thesuture thread. gy slot in the pick-up shaftto enable it to be drawn out of the way anddetached. Vol. 162 Palato-Plasty. Fig. 19 is an illustration of this instrument. The needle ismade in three forms, with a simple curve like that of a tenac-ulum, and curved to the right and to the left. The first formis most useful in the operation under consideration; the othertwo in the surgery of the vagina and rectum. A convenient length for this instrument, and for all otherinstruments for the surgery of the mouth, is eight inches, orabout twenty centimeters. Another expedient previously recommended by Dieffen-bach, and lately practiced by Fergusson, consists in the intro-duction of sutures through the bony plate of each side. This is Dieffenbachs method, copied from Velpeaus Sur-gery (Townsends translation, edited by Mott, vol. Ill, ): He punches a hole through the edge of the cleft,and inserts a thick, soft silver wire, which is to be drawn andtwisted as close as can be, after having first cut down uponand separated t
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Keywords: ., bookcentury180, bookdecade1870, booksubjectmedicine, bookyear1876
