The surgical assistant, a manual for students, practitioners, hospital internes and nurses . the knee, shoulder, iliac spines, etc.,must be protected with cotton wool before bandaging overthem. The stump should be held up while the patient isbeing carried to bed, and is then to be kept elevated by sup-porting it upon a pillow to which it may be pinned or band-aged. Amputation of a Digit. Here are needed, for an am-putation in contiguity (disarticulation): scalpel; mouse-tooth forceps; straight and curved scissors; two small sharpretractors; probe; [sharp spoon]; [bone-seizing (lionjaw ) forcep
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . the knee, shoulder, iliac spines, etc.,must be protected with cotton wool before bandaging overthem. The stump should be held up while the patient isbeing carried to bed, and is then to be kept elevated by sup-porting it upon a pillow to which it may be pinned or band-aged. Amputation of a Digit. Here are needed, for an am-putation in contiguity (disarticulation): scalpel; mouse-tooth forceps; straight and curved scissors; two small sharpretractors; probe; [sharp spoon]; [bone-seizing (lionjaw ) forceps] ; two hemostats; and suturing implements:while for an amputation in continuity (through a pha- 296 The Surgical Assistant, lanx) there are also needed a metacarpal or scroll saw andbone-cutting forceps. If the amputation is at or close to the metacarpo-phalan-geal or metatarso-phalangeal articulation a Martin rubberbandage should be applied to the forearm or leg, respec-tively. For an amputation beyond that point a piece of soft rubber tubing or solid rubber may be used as a. Fig. 115. Preparation of a finger for amputation. constrictor about the base of the digit, being secured at itspoint of crossing with an artery forceps. To isolate the field of operation the digit may be thrustthrough a small opening in a towel or compress of the segment to be ablated is gangrenous or infected itshould be wrapped in, or held in, a piece of gauze. OSTEOTOMY FOR OSTEOMYELITIS. The instruments needed are: scalpels; mouse-tooth andanatomical forceps; straight and curved scissors; probe;sharp retractors; periosteal elevator (appendix, fag. 77); Osteotomy for Osteomyelitis. 297 raspatory; dressing forceps; sequestrum forceps ; hem-ostats; small sponge carriers; chisels and gouges; mallet;rongeurs; Volkmann bone curettes (sharp spoons, appendix,fig. lo) ; [bone drill (appendix, fig. 76)] ; suturing imple-ments ; catgut sutures; a few ligatures. Bits of sea-sponge;a constricto
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
