The surgeon's handbook on the treatment of wounded in war : a prize essay . right side (fig. 297). 4. Before commencing the operation, the skin in the neighbourhoodof the amputation is shaved, most carefully cleaned with soap andbrush, and afterwards thoroughly washed with a strong carbolicsolution. 5. Narcosis being induced, the extremity is made bloodless to apoint above the seat of amputation, and after the removal of the ban-dage again washed with the carbolic solution. 6. During the whole operation all the rules of antiseptic surgeryare most rigidly followed (page 12). b. Division of the
The surgeon's handbook on the treatment of wounded in war : a prize essay . right side (fig. 297). 4. Before commencing the operation, the skin in the neighbourhoodof the amputation is shaved, most carefully cleaned with soap andbrush, and afterwards thoroughly washed with a strong carbolicsolution. 5. Narcosis being induced, the extremity is made bloodless to apoint above the seat of amputation, and after the removal of the ban-dage again washed with the carbolic solution. 6. During the whole operation all the rules of antiseptic surgeryare most rigidly followed (page 12). b. Division of the soft parts. The soft parts must be divided in such a way, that they give aplentiful covering to the sawn surfaces of the bones. The muscles arebest cut through perpendicularly to the axis of the limb, for if themuscles are divided obliquely, the vessels are also divided obliquely,and cannot be easily and securely tied. For this reason, of all methodsthe circular operation and the method by skin-flaps with circular di-vision of the muscles are most to be recommended. \7o. ; ??V1!i!il!ii|!i!|!li,li|||l|ili|lllll!|l 174 1. The single circular incision (Celsus). With one stroke of an amputating knife (fig. 298), the length ofwhich varies in proportion to the thickness of the limb, the soft parts Fig. 298. Mi
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