Operative surgery . OPERATIONS ON THE NEliVOUS SYSTE:\r. 253 tlie dura mater and the control of hasniorrliage arc described elsewhere(page 241). Horsleys wax may be applied to the bleeding point (page 5G8). Fashion and pull aside the dural flap and observe the cerehral character-istics. In making the flap insert a small tenaculum (Fig. 290, h) into thedura at the most dependent part—if consistent with the vascular integrity ofthe flap—al)out a quarter of an inch from the border of the bone. Raise thedura from off the brain and make a small incision through it with the pointof a scalpel. Introd
Operative surgery . OPERATIONS ON THE NEliVOUS SYSTE:\r. 253 tlie dura mater and the control of hasniorrliage arc described elsewhere(page 241). Horsleys wax may be applied to the bleeding point (page 5G8). Fashion and pull aside the dural flap and observe the cerehral character-istics. In making the flap insert a small tenaculum (Fig. 290, h) into thedura at the most dependent part—if consistent with the vascular integrity ofthe flap—al)out a quarter of an inch from the border of the bone. Raise thedura from off the brain and make a small incision through it with the pointof a scalpel. Introduce through the opening the blade of a small, curved,l)lunt-pointed scissors (Fig. 290, m), and divide the membrane equally ateither side of the tenaculum a quarter of an inch from the bone for fourfifths of the entire circumference of the opening, if this amount of space beneeded, and the nutrition of the flap be not imperiled. If the membranes becedematous, congested, or adherent; if the brain bulge into the o
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