The surgical assistant, a manual for students, practitioners, hospital internes and nurses . r lumbar colostomy. If the kidney does not at once appear satisfactorily in thewound the assistant presses the fingers of one hand upwardsand into the abdomen in order to thrust up the organ andhe thus holds it until the operator has it securely in his grasp. Nephrectomy. Ligatures may be required for bloodves- Operations Upon the Kidney. 237 sels at the poles of the kidney that have to be severed in thecourse of the delivery of the organ. When the surgeonhas reached the pedicle, the assistant should h
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . r lumbar colostomy. If the kidney does not at once appear satisfactorily in thewound the assistant presses the fingers of one hand upwardsand into the abdomen in order to thrust up the organ andhe thus holds it until the operator has it securely in his grasp. Nephrectomy. Ligatures may be required for bloodves- Operations Upon the Kidney. 237 sels at the poles of the kidney that have to be severed in thecourse of the delivery of the organ. When the surgeonhas reached the pedicle, the assistant should have a clampat hand, lest a rupture of the renal artery or vein should in-advertently take place. If the pedicle is to be ligated enmasse with a rubber strand the assistant secures this ligaturewith a long piece of heavy silk, knotted tightly around therubber at its point of crossing. The silk thread is left long,the rubber cut moderately short. Silk or catgut ligaturesto be tied around the individual vessels should be in ligaturecarriers. They are usually left long in order to expose the. Fig. 84. Assistant pushing up the kidney by pressure on the the cushion under the lower loin. pedicle in the event of bleeding after the kidney is slipping of one of these ligatures is an accident the pos-sible occurrence of which the assistant must bear in meet such a condition the emergency clamp above re-ferred to should be kept within easy reach until the very con-clusion of the operation. In some cases the operator willfind it necessary to leave one or more clamps on the pedicleinstead of, or in addition to, the ligatures. In that event 238 The Surgical Assistant. the assistant holds the instruments Hghtly in a vertical posi-tion, carefully avoiding traction, while gauze packings areinserted all about to support them. A large ring of loosegauze is to surround the handles beyond the wound, and afirm dressing is to be so applied that they cannot move about.
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
