The surgical assistant, a manual for students, practitioners, hospital internes and nurses . Fig. 117. Skin-grafting. Stretching the skin with McBurneys hooks. prepared to receive the grafts. For this there is handedfirst the spoon with which to curette the exuberant granula-tions usually present. The scalpel is also needed sometimesto pare unhealthy wound edges. The assistant then washesthe bleeding surface with salt solution and applies a drycompress to check oozing while the grafts are being Fig. 118. Skin-grafting. Stretching the skin with the hands. The skin-furnishing surface is
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . Fig. 117. Skin-grafting. Stretching the skin with McBurneys hooks. prepared to receive the grafts. For this there is handedfirst the spoon with which to curette the exuberant granula-tions usually present. The scalpel is also needed sometimesto pare unhealthy wound edges. The assistant then washesthe bleeding surface with salt solution and applies a drycompress to check oozing while the grafts are being Fig. 118. Skin-grafting. Stretching the skin with the hands. The skin-furnishing surface is now uncovered again andthe surgeon is provided with the razor and a probe. Theskin is put upon the stretch in a longitudinal direction. Thisis done by using the McBurney retractors as shown in fig-ure 117, or by the pressure of two sticks of wood, or by thehands alone applied as shown in figure 118, Skin-grafting. Intravenous Infusion. 301 The stretching may be done by the assistant alone, orby the surgeon below and the assistant above. A strip ofskin about two inches wide is thus kept evenly and tightlystretched and, by the proper application of the retractors orthe hands, somewhat elevated above the skin on each sideof it. As the razor is moved along the assistant shoulddrip salt solution upon it from a sponge, enough to flood thesurface of the blade without, however, washing off the epi-thelial strip gathering upon it. Usually the surgeon trans-fers each strip to the wound as soon as it is c
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905