The surgical assistant, a manual for students, practitioners, hospital internes and nurses . ated with hot sublimateor other solution, traction on the laterally placed volsella,continued symmetrically to prevent infolding and distortion,is relaxed in order to accommodate the introduction ofsutures. These are ordinarily applied in tiers—unless thedenuded surface is quite narrow—and a single strand ofchromicized catgut, if sufficiently long, will suflice for thepurpose. Introduced and tied at the upper angle, the assist-ant seizes the short, free end of the gut with his right hand,^nci removes t
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . ated with hot sublimateor other solution, traction on the laterally placed volsella,continued symmetrically to prevent infolding and distortion,is relaxed in order to accommodate the introduction ofsutures. These are ordinarily applied in tiers—unless thedenuded surface is quite narrow—and a single strand ofchromicized catgut, if sufficiently long, will suflice for thepurpose. Introduced and tied at the upper angle, the assist-ant seizes the short, free end of the gut with his right hand,^nci removes the yolsellum at that point. Each loop of the Anterior Colporrhaphy. 271 continuous suture is in turn seized and lifted up between thethumb and forefinger of the assistants right hand, and isreleased only as the next loop is drawn through (figure 95).As each loop is being drawn the centre of the tissue it in-cludes should be pressed in with forceps in the assistantsleft hand, to facilitate adaptation. The same manipulationsare repeated as the second tier is being sewed, the assistants. Fig. 95. Holding loops of suture in anterior colporrhaphy. Volsella beingheld by nurse. left hand holding the suture taut if it is introduced from be-low upwards. With the last tier (interrupted or continuous)mouse-tooth forceps are manipulated, as in other wounds, tosecure accurate coaptation. As in the dissecting, so duringthe suturing, intermittent irrigation may be employed tokeep the field clean. 272 The Surgical Assistant. POSTERIOR COLPORRHAPHY; PERINEORRHAPHY. In addition to the other preparations of the field, the rec-tum should be cleansed. There are handed to the operator three volsella (or trac-tion sutures). That one fastened to the center of the pos-terior vaginal wall is to be drawn upon vertically towards theurethra, those applied laterally at the margin of the vulva are
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
