A hand-book of surgery: with fifty illustrations . s nov/ covered by lintspread with cerate, and over this a thin pledget of charpie or tow;the whole is supported and covered by a roller, which shouldbe carried once or twice around the patients pelvis. Having beencarefully placed in bed, the stump is supported upon a pillow, andsecured to it by pins; over the stump is placed a frame, to take offthe weight of the bedclothes. During the winter the dressings mayremain on seven or eight days; in summer only two or three; a AMPUTATION AT THE IIIP-JOINT. Ill poultice previously applied may facilitat
A hand-book of surgery: with fifty illustrations . s nov/ covered by lintspread with cerate, and over this a thin pledget of charpie or tow;the whole is supported and covered by a roller, which shouldbe carried once or twice around the patients pelvis. Having beencarefully placed in bed, the stump is supported upon a pillow, andsecured to it by pins; over the stump is placed a frame, to take offthe weight of the bedclothes. During the winter the dressings mayremain on seven or eight days; in summer only two or three; a AMPUTATION AT THE IIIP-JOINT. Ill poultice previously applied may facilitate their removal. The after-dressings may be repeated once in forty-eight hours. About the tenthday the ligatures may come away^ and generally, the wound is healedin three or four weeks. Some suppose that the stump may be bettercovered by flap operation^ especially should the integument bethin. FLAP OPERATION. The original plan of Vermale was, to introduce a knife perpen-dicularly to the anterior surface of the thigh, and to cut a lateral Fig. flap on either side. Liston and others prefer an anterior and pos-terior flap, which prevent the end of the bone rising at the upperangle of the wound, and protruding forwards. These are made by in-serting the knife by the side of the thigh, as in Fig. 37, instead ofupon its anterior surface. The objections to the flap operation arethe injuries to vessels and nerves, by transfixion and oblique divi-sion. AMPUTATION AT THE HIP JOINT. This operation is rarely necessary, and is always severe and dan-gerous; it should never be performed for disease of the joint. Thepatient is to be placed on a table, with his pelvis projecting fromthe edge. The artery is compressed by an assistant, who must beready to thrust his fingers in the wound formed during the forma-tion of the anterior flap, so that he can grasp the end of the vessel,as soon as it is cut. The knife is entered about middle way betweenthe trochanter major and the anterior superior s
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Keywords: ., bookcentury1800, bookdecade1850, bookpublishe, booksubjectsurgery
