The surgical assistant, a manual for students, practitioners, hospital internes and nurses . auze pads and a single spica band-age will suffice, it is better to apply the dressingto a malepatient in the following manner. The groin is evenly filledwith gauze pads and absorbent cotton, and loose gauze isplaced over the scrotum, which is to be held up. Over the Herniotomy. 233 iliac spines a little absorbent cotton is placed. To preventsoiling of the dressing a sheet of gutta-percha, perforated forthe penis, may be used to cover it. The bandages, six incheswide, are applied as shown in figures 82
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . auze pads and a single spica band-age will suffice, it is better to apply the dressingto a malepatient in the following manner. The groin is evenly filledwith gauze pads and absorbent cotton, and loose gauze isplaced over the scrotum, which is to be held up. Over the Herniotomy. 233 iliac spines a little absorbent cotton is placed. To preventsoiling of the dressing a sheet of gutta-percha, perforated forthe penis, may be used to cover it. The bandages, six incheswide, are applied as shown in figures 82 and 83. A few cir-cular turns, over the iliac crests, are first passed. Then theroller is brought down over the right groin and the scrotum,across the perineum, behind and around the left thigh (inthe gluteo-femoral line), around the abdomen again, fromthe patients left to right in front and from his right to leftbehind, down over the left groin and the scrotum, across theperineum and behind the right thigh, etc.—thus forminga double spica, or figure-of-eight bandage crossing the per-. FlG. 83. Diagram showing perineal turns of bandage in dressing afteringuinal herniotomy. ineum (in front, of course, of the anus). A few turns ofa starch bandage may be applied over the gauze female patients a single or double spica should be soapplied that the vulva is left free. The technics of the assistant in herniotomies by othermethods than Bassinis, need no separate description. Ref-erence to a work on operative surgery will indicate to himthe modifications he need make of the above details, in Hal-gteds, McEwens and other operations, 234 The Surgical Assistant. FEMORAL HERNIOTOMY. The assistants manipulations here are also but an adapta-tion of those described for inguinal herniotomy. A catgut(purse-string) suture is needed for the sac; and silk orchromicized catgut sutures for the canal,—either anotherpurse-string, or two or more interrupted stitches, as used,for example
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
