The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . STRABISMUS. 107 the lip. No other dressing is needed. In the course of forty-eighthours, or very little more, the pins should be removed, by firstusing a rotary motion to loosen them ; then draw them out, andlet the ligatures remain. They are now saturated with blood,hard, and capable of holding the wound together far better thanany other application. Unwaxed silk is better, as more easilysaturated with blood. If it be thought necessary to give additionalsupport, to prevent separation, which


The practice of surgery : embracing minor surgery and the application of dressings, etc., etc., etc. . STRABISMUS. 107 the lip. No other dressing is needed. In the course of forty-eighthours, or very little more, the pins should be removed, by firstusing a rotary motion to loosen them ; then draw them out, andlet the ligatures remain. They are now saturated with blood,hard, and capable of holding the wound together far better thanany other application. Unwaxed silk is better, as more easilysaturated with blood. If it be thought necessary to give additionalsupport, to prevent separation, which may sometimes threaten, astrip of adhesive plaster may be carried across the lip and face asfar as the ears. Operation for double hare-lip does not differ in principle fromthat of single. The only points of difference in practice are cuttingtwo incisions, in the same manner and form as in the first case, and. passing the pins through the three flaps, traversing the centre pieceand out again, a quarter of an inch beyond the farthest centre flap of the lip does not always come low enough totouch the lower lip; therefore the parts must be brought together,and adapted as well as possible, bearing this in mind, that theprincipal point in the operation is to cut away sufficient of thefissure or fissures to give a smooth surface, and that the partsmust be accurately brought together, otherwise there will be de-formity. STRABISMUS. Strabismus is an affection of the eye by which a person sees ob-jects in an oblique manner, from the axis of vision being distorted. It is a deformity of the eye often met with, and easily removedby an operation, where the deformity does not depend upon para-lysis of one of the recti muscles of the eye ; but this is rarely thecase; the deformity most generally consists in a contraction of the 108 STRABISMUS. internal rectus, thus drawing the eye towards and


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