The surgical assistant, a manual for students, practitioners, hospital internes and nurses . o. 2 catgut ligatures, other ligature andsuture material as described below, sponge on a string,iodoform duster, tampon canula, split compress, gauze padsand binder. If there is no second assistant, these articlesmay all be arranged on a low table within easy reach. Clamp and Cautery Operation. (Smiths.) The spongeon a string having been inserted into the rectum, the assist-ant places in the operators lap the pile clamp, curved scis- 282 The Surgical Assistant. sors, and a pair of mouse-tooth forceps,
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . o. 2 catgut ligatures, other ligature andsuture material as described below, sponge on a string,iodoform duster, tampon canula, split compress, gauze padsand binder. If there is no second assistant, these articlesmay all be arranged on a low table within easy reach. Clamp and Cautery Operation. (Smiths.) The spongeon a string having been inserted into the rectum, the assist-ant places in the operators lap the pile clamp, curved scis- 282 The Surgical Assistant. sors, and a pair of mouse-tooth forceps, and a pair of forcepsin his own lap. By gentle traction upon the string, if this benecessary, or by everting the mucous membrane with hisfingers on each side of the anus, the assistant exposes thehemorrhoids. The surgeon having lifted a pile at one point,the assistant seizes it near the further extremity in such amanner that the clamp can be properly applied beneath theforceps and in the direction of the axis of the rectum (figure104). The blades of the clamp closed, the assistant relin-. FiG. 105. ClaiTip and cautery operation. A, assistants right hand ; B, sur-geons right hand ; C, surgeons left hand. quishes his forceps and screws tight the fixation nut of theclamp. Then he wipes the pile dry with a mounted sponge,and rests the latter just beyond the end of the clamp to pre-vent damage by slipping of the cautery. If the surgeon doesnot remove the hemorrhoid with scissors (and then sear thestump) a towel is placed over his right hand in which toreceive at once the handle of the Paquelin cautery. The Hemorrhoids. 283 platinum should be kept at a cherry red heat only—i. e., not white hot, yet hot enough to thoroughly sear the pilestump without sticking in its passage across it. The cauterization completed, the assistant sponges charredbits from the surface of the clamp and unscrews the nutto release it. When the other piles have been similarlytreated, he gently withdraws the
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
