. Medical and surgical therapy . Fig. 21.—Doyens perforating instruments. two rows of forceps, and would thereby be renderedvery laborious. TREATMENT OF WOUND OF SKULL 795 The use of rectilinear incisions for the cutaneousflap is justified on several grounds. The applicationof the T-forceps with rectilinear jaws is much easieron the edges of a rectilinear wound. At the endof the operation haemostasis is merely by accurate. Fig. 22.—Crown trephine., These instruments are difficult tomanage, but are strong and do not get out of order. coaptation of the edges of the incision ; this is muchmore ea
. Medical and surgical therapy . Fig. 21.—Doyens perforating instruments. two rows of forceps, and would thereby be renderedvery laborious. TREATMENT OF WOUND OF SKULL 795 The use of rectilinear incisions for the cutaneousflap is justified on several grounds. The applicationof the T-forceps with rectilinear jaws is much easieron the edges of a rectilinear wound. At the endof the operation haemostasis is merely by accurate. Fig. 22.—Crown trephine., These instruments are difficult tomanage, but are strong and do not get out of order. coaptation of the edges of the incision ; this is muchmore easily done with a straight incision than acurved one, as there will often be puckering at thepoints vfhere the edges are not Brought perfectlytogether along the latter. When it is proposed tocut an osteo-cutaneous flap the greatest care mustbe taken not to reflect the scalp from the subjacent 796 WOUNDS OF THE SKULL bone, to which it is only loosely adherent. Thereforewhen placing the T-forceps on the inner lip of theincision (that of the flap), one should be careful notto throw the handles back towards the centre ofthe flap, and so evert the edge of it and bare theskull beneath to an undue extent. On the contrary,these forceps must be placed in a position similarto that of the forceps on the other lip of the wound,which can and must be everted in order to Uncoverenough of the bone to allow the drilling and cuttin
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
