A manual of obstetrics . usually Ramsbothamssharp hook or Brauns blunt-hook (Fig. 134); as substitutes EMBRYOTOMY. 477 may be used a pair of scissors or a piece of twine or offlexible wire, which, being passed around the neck, maysever the latter by a sawing movement {Pajofs method^; aSims speculum is also necessary. Steps of tJie Operation.âTheoperationconsistsinâ(i) Traction by an assist-ant upon the prolapsedarm or other protrudingportion. (2) Insertion ofthe hook around the neckand severing of the latterby a combined sawingmovement with downwardtraction: if scissors be em-ployed, the index
A manual of obstetrics . usually Ramsbothamssharp hook or Brauns blunt-hook (Fig. 134); as substitutes EMBRYOTOMY. 477 may be used a pair of scissors or a piece of twine or offlexible wire, which, being passed around the neck, maysever the latter by a sawing movement {Pajofs method^; aSims speculum is also necessary. Steps of tJie Operation.âTheoperationconsistsinâ(i) Traction by an assist-ant upon the prolapsedarm or other protrudingportion. (2) Insertion ofthe hook around the neckand severing of the latterby a combined sawingmovement with downwardtraction: if scissors be em-ployed, the index fingerof the left hand must bepassed around the neckand the latter snippedthrough from below up-ward. (3) Traction uponthe prolapsed member, thetrunk and extremitiesslipping out of the partu-rient canal. (4) Delivery ofthe Head.âThis may beaccomplished by hookingthe index finger into theorifice at the base of thehead and drawing it downto the orifice of the cer-vical canal, when pressurehead may cause its escape. Fig. 134.âDecapitation with Brauns hook(Dickinson). from above and traction on theThis failing, the cephalotribemay be introduced and the head seized and extracted. 3. Amputations of the Fetal Extremities. â The removalof one or more limbs of the fetus in order to permit of itsescape from the parturient canal. Indication.âThis ope- 478 A MANUAL OF OBSTETRICS. ration is indicated only in certain forms of fetal monstros-ities. Fetal death or nonviability must be assured beforethe operation is performed. Instnivicnts.âA strong pairof scissors is all that will be required. Steps of the Opera-tion.â(i) The offending member must be dragged down soas to be rendered as accessible as possible; (2) by short snipsthe tissues must be divided and the part then of Embryotomy.âThere is no reason why thereshould be any maternal mortality in this operation, pro-vided it be performed at a proper time. There can be nodoubt that the exhaustion consequent upon
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Keywords: ., bookcentury1800, bookdecade1890, booksubjectobstetrics, bookyear1
