A manual of operative surgery . ature. It is necessary that a ligature should be placed uponthe main vein, or upon any other vein from which blood continuesto ooze. Persistent bleeding from the sawn surface of the bone may usually 484 AMPUTATIONS [part vr be checked by gentle pressure maintained for some time with a pieceof sponge. Bleeding from a distinct artery in the bone seldom calls for furthermeans than these. Should it, however, be maintained, an attemptshould be made to separate the coats of the vessel from the wall ofthe bony canal by means of a fine needle, and then to force themrwhe
A manual of operative surgery . ature. It is necessary that a ligature should be placed uponthe main vein, or upon any other vein from which blood continuesto ooze. Persistent bleeding from the sawn surface of the bone may usually 484 AMPUTATIONS [part vr be checked by gentle pressure maintained for some time with a pieceof sponge. Bleeding from a distinct artery in the bone seldom calls for furthermeans than these. Should it, however, be maintained, an attemptshould be made to separate the coats of the vessel from the wall ofthe bony canal by means of a fine needle, and then to force themrwhen separated, into the canal so as to form a kind of natural have never met with a case which called for the use of the sharp-ened end of a wooden match as a plug. This plug, which so manyauthors allude to, is probably intended to be no more than a picturesqueexample of fertility of resource. 4. Closure of the Wound.—The cleansing of the wound surfaceand the application of the sutures are conducted in the manner already. FIG. 357.—SUPPORTING SPLINT ADJUSTED TO THE LEG AFTER CHOPART SAMPUTATION. described (Vol. I., page 71). There should be no tension upon thewound, no dragging of the flaps together, no attempt to cover thebone by traction upon the soft parts. The edges should fall unite the wound a long, straight needle is employed, and thebest suture material is silkworm gut. If the sutures are applied at a proper distance apart, and if firmand even pressure is employed, so as to approximate the woundsurfaces and obliterate any cavities or pockets between the flaps,no drainage-tubes may be required. If a sinus has been exposedduring the amputation, and has been scraped out, a plug of gauzemay be allowed to occupy its cavity for a day or so. If the knifehas passed through cedematous tissues, much oozing must of necessityoccur after the operation, and to allow this to have free exit a tubemay be employed, for 24 or 48 hours. In any case of doubt a tube(to b
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