A system of surgery : pathological, diagnostic, therapeutic, and operative . fcrushing, as proposed by Mons. Chassaignac, of Paris, the instrument which hehas devised for that purpose being called the ecraseur; the inventor, hopingthus to meet certain contingencies in operative surgery which he, in commonwith others, had frequently encountered in practice, and which he supposed couldnot be overcome in any other manner. His chief object was to supply a substi-tute for the ligature in the removal of certain tumors, as hemorrlioids, and polypsof the vagina and uterus. The idea seems to have been
A system of surgery : pathological, diagnostic, therapeutic, and operative . fcrushing, as proposed by Mons. Chassaignac, of Paris, the instrument which hehas devised for that purpose being called the ecraseur; the inventor, hopingthus to meet certain contingencies in operative surgery which he, in commonwith others, had frequently encountered in practice, and which he supposed couldnot be overcome in any other manner. His chief object was to supply a substi-tute for the ligature in the removal of certain tumors, as hemorrlioids, and polypsof the vagina and uterus. The idea seems to have been to contrive an instru-ment that should combine the security of the ligature with the rapidity of theknife, thus preventing hemorrhage and pain, and promptly ridding the part ofabnormal structure. The ecraseur, as might be supposed, was originally rudeand clumsy, but, by the ingenuity of surgeons and cutlers, has been rendered verygraceful and convenient, if not absolutely perfect. The annexed sketch, fig. 136, affords an excellent representation of the shape • Fig, 136,. Ecraseur. and construction of the instrument, as manufactured by Gemrig, Kolbe, andothers of this city. It will be perceived that it essentially consists of two pieces,a sheath^ barrel, or tube, either flattened or cylindrical, and of ail articulatedchain, attached to a steel rod, lying within the sheath, and moved by a chain is constructed upon the same principles as the ordinary chain saw,but the links are stronger, and perfectly obtuse, except when it is desired tocombine division with crushing, in which event their edges are somewhat instrument is made of various sizes and shapes, so as to adapt it the morereadily to the various cases presented in practice. The chain, unless constructedwith great care, is very liable to break, especially if used for the removal ofdense, indurated structures, the division of which requires a good deal of force. The application of the ecraseur has rec
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
