The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . healveolus and teeth, these must be removed. The teeth can beextracted with forceps, where they alone are at fault; but wherethe alveolus projects too much, this must be removed, at the sametime with the teeth, by dividing the gums where the bone is to beseparated, and either cutting through the bony process with astrong scalpel, or dividing it with the bone forceps, and seizing thepart firmly, bringing away the teeth and alveolar process at thesame time. It is sometimes found that the lip is
The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . healveolus and teeth, these must be removed. The teeth can beextracted with forceps, where they alone are at fault; but wherethe alveolus projects too much, this must be removed, at the sametime with the teeth, by dividing the gums where the bone is to beseparated, and either cutting through the bony process with astrong scalpel, or dividing it with the bone forceps, and seizing thepart firmly, bringing away the teeth and alveolar process at thesame time. It is sometimes found that the lip is not free, but isadherent to the mouth internally; where this is the case, it shouldbe dissected up from its adhesions to the mucous membrane of themouth. These preliminary steps having been taken where they are 106 II A RE-LIP. necessary, the child, previously bound round by bandages or cloths,so as to confine completely the arms and legs, is held upon the lap ofan assistant or nurse ; the surgeon seats himself before the nurse, andplaces the childs head between his knees ; he then takes a narrow. sharp-pointed knife, and raising the lip with the other hand, passesit through the lip at the top of the fissure, near its edge, and carrieddown its whole length, removing a strip so wide as to form asmooth, flat surface for union. The other border of the fissure istreated in the same manner. The removal of the edges may beeffected equally well with scissors, by cutting upwards from theedge of the lip to the top of the fissure. The superior coronary arteries now bleed pretty freely, butnever require a ligature, as the blood can be arrested by merelypinching or twisting them with forceps. The lips of the woundmust be brought together with great care, and accurately adjusted,both as regards the sides and lower edges. A hare-lip pin, or,what is more convenient and quite as good, a common pin orsewing needle, is passed through both sides of the lip, entering andemerging about a quarter o
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