Operative surgery . than onedesigned for the purpose. The cliemise or shirted and tiie air-bag cannuhi(Figs. loS!), i;{.Hi, and l.)i)l) are useful to control luernorrluige. At least fiveassistants should be present. To one of these the stall shouldbe intrusted ; the lower limbs may be controlled by two others,either with or without the limbs being coufined by the anklets(Fig. *). The hands and feet may be bandaged togethersatisfactorily for the purpose. Of the remaining assistants, oneshould attend the instruments and the other the sponges, Fig. laS.^i.—Straight Fig. 13SG.—Curvedfor
Operative surgery . than onedesigned for the purpose. The cliemise or shirted and tiie air-bag cannuhi(Figs. loS!), i;{.Hi, and l.)i)l) are useful to control luernorrluige. At least fiveassistants should be present. To one of these the stall shouldbe intrusted ; the lower limbs may be controlled by two others,either with or without the limbs being coufined by the anklets(Fig. *). The hands and feet may be bandaged togethersatisfactorily for the purpose. Of the remaining assistants, oneshould attend the instruments and the other the sponges, Fig. laS.^i.—Straight Fig. 13SG.—Curvedforceps. lithotomy forceps. Fig. 1;}87.—Dol- Fig. i:iS8.—Van Burensbeaus lithoclast. debris syringe. The more modern device for separating the lower limbs and exposing theperinjeum will be found of great service (Fig. 1393). Forcipressure, retract-ors, ligatures, wipers, and drainage tubes, sliould be at hand. The rreliminarii Steps to the Operation.—Rest in bed for two or threedays before operation, or, at the least, long enough to ascertain the conditionof the kidneys, indicated by the amount and character of the urine, is veryimportant. The cleansing of the bladder with an aseptic lluid should bepracticed during this time if the urine be offensive or much vesical irritationbe present. Shave and disinfect the parts, empty the rectum with an enema, admin-ister an anaesthetic, draw tlie patient down to the edge of the table, and con-trol the lower extremities by bandaging them to the upper, or give each onein charge of an assistant.
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
