The surgical diseases of children . -ing vessels being securedwith the torsi-pressureforceps, and the tracheaactually exposed before itis opened. If the tracheacannot be made clearlyvisible (as may happen ifthe wound be deep or therebe much bleeding), at leastit must feel bare to the tipof the finger. If attemptbe made to open it whileit is still covered withmuscle or aponeurosis, dis-appointment and vexatious delay result. Swollenveins which are in the way may be caught withtwo pairs of pressure forceps, and then severed. Afew pairs of these forceps are of great help; withthem the wound can e
The surgical diseases of children . -ing vessels being securedwith the torsi-pressureforceps, and the tracheaactually exposed before itis opened. If the tracheacannot be made clearlyvisible (as may happen ifthe wound be deep or therebe much bleeding), at leastit must feel bare to the tipof the finger. If attemptbe made to open it whileit is still covered withmuscle or aponeurosis, dis-appointment and vexatious delay result. Swollenveins which are in the way may be caught withtwo pairs of pressure forceps, and then severed. Afew pairs of these forceps are of great help; withthem the wound can effectually be kept dry withoutperpetual sponging, and any irregular or large vesselcan be quickly secured by them. The thermo-cautery is not suited for the operation;it makes the wound so hot, and its edges so hard, thatthe finger cannot be used as a guide, and the resultingeschars may be cast off with serious haemorrhage. Itwill be well if an assistant can hold apart the edges ofthe wound with small hook-retractors, seize bleeding. Self-holding Forceps. Chap, in.] Process of Operation. 37 vessels, and sponge the wound; but more often thannot the chloroformist is the only friend at clumsy assistant is an embarrassment; he gets hissponges in the way, and if entrusted with retractors,he is apt to drag the trachea out of position. When the wind-pipe is exposed, a sharp hook isthrust into it, to fax it at about the level of the cricoid,and the point of the scalpel is then plunged in frombelow upwards. The edge of the blade is directedforwards, and as many rings divided as may seemnecessary for the introduction of the tube. Thesurgeon should assure himself by the touch that thehook is firmly in the wind-pipe ; of this there must beno doubt. It has been recommended that the hookbe passed into the trachea at a little distance from themiddle line, its point being made to come out againthrough the tracheal wound. It is better, however,in this, as in every step of the operation, t
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
