The after-treatment of operations; a manual for practitioners and house surgeons . est importancethat the collateral vessels should be relieved from allpressure. As many of these collateral vessels are in thegluteal region and back of the thigh, the dorsal position isvery unsuitable to this end, and the prone position shouldbe adopted. Mr. AUingham had a case where it wasnecessary to resect a portion of both the main femoralvessels in removing a tumour of the femur, and in whichthe prone position was adopted ; the collateral circulationwas soon established, and the limb recovered perfectly. Se
The after-treatment of operations; a manual for practitioners and house surgeons . est importancethat the collateral vessels should be relieved from allpressure. As many of these collateral vessels are in thegluteal region and back of the thigh, the dorsal position isvery unsuitable to this end, and the prone position shouldbe adopted. Mr. AUingham had a case where it wasnecessary to resect a portion of both the main femoralvessels in removing a tumour of the femur, and in whichthe prone position was adopted ; the collateral circulationwas soon established, and the limb recovered perfectly. Semi-recumbent Position (Fig. 3).—Here the patientis propped up into a half-sitting posture with pillows anda bed-rest; a bolster is also placed under the thighs toprevent the patient from slipping down in the bed. Caremust be taken to see that there is not undue pressure 6 The After-Treatment of Operations on the lower part of the sacrum, otherwise bed-sore is aptto occur at this spot; this may be prevented by flexing theknees over a bolster or junk, and allowing the weight to. Fig. 3.—Semi-recumbent Position. be taken on the under-surfaces of the thighs. Thebolster should be a stiff one (a good size is 3 feet longby 9 inches diameter), and should be attached to thehead of the bed at either end with straps. A good sub-stitute can be made by wrapping a blanket round abroomstick and tying the ends of the latter to the headof the bed. This is the position in which all elderly people shouldbe nursed whenever possible. The recumbent positionis particularly unsuitable for such patients, as, althoughtheir lungs may have been previously healthy, they arevery liable to develop a moist bronchitis or hypostaticcongestion of the lungs if kept lying down for any lengthof time, and this is particularly the case when the opera-tion interferes with the thoracic or diaphragmatic move-ments, as after removal of the breast or operations on Introductory 7 the stomach, etc. This position is the
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