Operative surgery . n the part ofsurgeons will cause them to utilize many instruments for divers purposes,and thus lessen the expense and also limit the production of instruments towithin the bounds of reason and expediency. The instruments in general use include scalpels and bistouries of variousforms (Fig. 33), thumb forceps, grooved directors, and scissors. Those forspecial purposesare employed inthe performanceof operationswhich in mostinstances causedtheir creation ;they will beconsidered inconnection withthe operationsto which theyare particularlyadapted. The Methodsof Holding theScalpel
Operative surgery . n the part ofsurgeons will cause them to utilize many instruments for divers purposes,and thus lessen the expense and also limit the production of instruments towithin the bounds of reason and expediency. The instruments in general use include scalpels and bistouries of variousforms (Fig. 33), thumb forceps, grooved directors, and scissors. Those forspecial purposesare employed inthe performanceof operationswhich in mostinstances causedtheir creation ;they will beconsidered inconnection withthe operationsto which theyare particularlyadapted. The Methodsof Holding theScalpel. — Threepositions arecommonly rec-ommended, each of which is subdivided into two. The positions resemblethe manner of holding respectively, the ordinary table knife, the pen, andthe violin bow. Figs. 34 and 35 represent the subdivisions of the first position; they in-dicate that force and firmness are required. Figs. 36 and 37 represent thesubdivisions of the second position; these are taken when quick, delicate,. Fig. 33.—Scalpels and bistouries. 46 OPERATIVE SURGERY. and precise movements are made. Figs. 38 and 39 are the subdivisions ofthe third position, and are employed when caution is used in conjunctionwith delicacy in cutting. The preceding positions aremore essential to graceful thanto successful operative methods.
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