The principles of surgery . as retentive means. Then, as few pointsas possible of the common interrupted suture are to beinserted; and they should all be cut out, so soon as theprogress of adhesion has rendered their retentive influenceno longer absolutely necessary. There are certain wounds—as in the vagina, and in thecase of lacerated perineum—in regard to which often theQuilled suture is the preferable means of retention. And,indeed, in any part, the circumstances of a wound maymake recourse to this form of suture expedient. For thewhole tract is, in every point, placed and maintained inacc
The principles of surgery . as retentive means. Then, as few pointsas possible of the common interrupted suture are to beinserted; and they should all be cut out, so soon as theprogress of adhesion has rendered their retentive influenceno longer absolutely necessary. There are certain wounds—as in the vagina, and in thecase of lacerated perineum—in regard to which often theQuilled suture is the preferable means of retention. And,indeed, in any part, the circumstances of a wound maymake recourse to this form of suture expedient. For thewhole tract is, in every point, placed and maintained inaccurate contact. Ligatures are passed, as in the inter-rupted suture ; but, instead of being secured in the ordinaryway, the ends on each side of the wound are tied on a quillor portion of bougie, which is thus made to press the partsinto apposition. The Continued, or Glovers suture, is made by a fineneedle and thread, as if on a piece of linen. It is seldomemployed but in the case of slight wound of intestine. Fig. The glovers, or continued suture,in wound of the bowel. In large wounds, it may sometimes happenthat treatment, such as we have recommended,fails in effecting coaptation throughout thewhole extent; that the deep walls separate,and that blood or matter tends to accumulatebetween. In such a case, it will be expedientto employ compress and bandaging, lightly ap-plied, from the first. Other instances of wound, in which thegeneral rules of treatment must be either variedor transgressed, will occasionally occur in prac-tice ; the peculiar circumstances of each willregulate the surgeon as to the treatment to beadopted. But even to them this general rulewill bo found applicable:—The less their ma-nagement varies from the principles inculcatedin the preceding pages—more particularly theall-important maxim of simplicity—the morelikely will it be to prove suitable and efficient. RESUME. 565 These principles may be briefly recapitulated as follows:—In regardto t
Size: 1292px × 1935px
Photo credit: © The Reading Room / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1800, booksub, booksubjectsurgicalproceduresoperative
