. Minor and operative surgery, including bandaging . Periosteotome. of artery forceps is that known as the double-spring arteryforceps (Fig. 216)« Tenacula are also employed for thesame purpose (Fig. 217). Haemostatic forceps will also befound most useful in cases of amputation, for the rapidcontrol of hemorrhage from small vessels after the tourni-quet has been removed, the vessels being secured bytorsion or by ligatures before the haemostatic forceps areremoved. Retractors.—These consist of pieces of sterilized muslinsix or eight inches in width, one end of which is split Fig. Retracto
. Minor and operative surgery, including bandaging . Periosteotome. of artery forceps is that known as the double-spring arteryforceps (Fig. 216)« Tenacula are also employed for thesame purpose (Fig. 217). Haemostatic forceps will also befound most useful in cases of amputation, for the rapidcontrol of hemorrhage from small vessels after the tourni-quet has been removed, the vessels being secured bytorsion or by ligatures before the haemostatic forceps areremoved. Retractors.—These consist of pieces of sterilized muslinsix or eight inches in width, one end of which is split Fig. Retractor applied. (Esmarch.) into two or three tails ; the former variety of retractor isemployed where one bone is divided, as in amputations 490 AMPUTATIONS. of the arm and thigh (Fig. 388). and the latter in caseswhere two bones are divided, as in amputations of theforearm and leg. Ligatures.—The best material to employ for the ligatureof vessels is plain or chromicized catgut or sterilized silk,the preparation of which has been described (page 13*.»). Sutures.—The materials employed for sutures in casesof amputation may be silkworm-gut, catgut, silk, or silverwire; deep or buried sutures of catgut, bringing togetherthe edges of the periosteal flaps, muscles, and fascia, areoften employed with advantage in amputations (Fig. 389),the skin flaps being brought together with interrupted or Fig. 389. Fig. 390. Deep or buried sutures of muscles. Sutures of the skin. (ESMAKCH.) (ESMARCH.) continuous sutures of silk, catgut, silkworm-gut, or silverwire (Fig. 390). Tourniquets.—For
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