The surgical assistant, a manual for students, practitioners, hospital internes and nurses . FlG. 81. Second suture layer, restoring the external oblique. Cord hasbeen released and retractors shifted to the skin. plant the cord to a new site of exit, or to insert a stitch inthe internal oblique above the cord. Care should be exer-cised that the prongs of the lower retractor do not piercethe femoral vessels lying just beneath Pouparts (interrupted) deep sutures are then handed. Asthey are inserted into the conjoined tendon above and the 232 The Surgical Assistant. ligament below th
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . FlG. 81. Second suture layer, restoring the external oblique. Cord hasbeen released and retractors shifted to the skin. plant the cord to a new site of exit, or to insert a stitch inthe internal oblique above the cord. Care should be exer-cised that the prongs of the lower retractor do not piercethe femoral vessels lying just beneath Pouparts (interrupted) deep sutures are then handed. Asthey are inserted into the conjoined tendon above and the 232 The Surgical Assistant. ligament below they are, one by one, cut long and securedin artery forceps. When all are in place they are handedto the operator again in regular order, for tying; and afterall are tied they are cut short. The wound is then spongedout, the cord released and the retractors removed to the. FiS. 82. Diagram showing turns of bandage in dressing after inguinalherniotomv. skin. Next are handed interrupted or running sutures withwhich to unite the edges of the external oblique (figure 8i).After this the wound is again sponged and the skin suturesare provided. Before these are introduced the operator maywant a running suture for the fascia. A pad of gauze is to be held over the groin, while thetowels are being removed and a hip rest slipped under thelumbar region. While gauze pads and a single spica band-age will suffice, it is better to apply the dressingto a malepatient in the following manner. The groin is evenly filledwith gauze pads and absorbent cotton, and loose gauze isplaced over the scrotum, which is to be held up. Over the Herniotomy. 233 iliac spines a little absorbent cotton is placed. To preventsoiling of the dressing a sheet of gutta-percha, perforated forthe penis, may be used to cover it. The bandages, six incheswide, are applied as shown in figures 82 and 83
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
