The surgical assistant, a manual for students, practitioners, hospital internes and nurses . should be cut and kept in readiness on theinstrument table. If the intestines are apt to be much ex-posed, hot towels and pads should also be at hand. These are 122 The Surgical Assistant. made ready when needed, by folding them in the center of atowel, which is to be dipped into a basin of water kept hotover a small flame. The towel is then wrung by its dry ends,and the pad is lifted out. Laparotomy pads should be handed with that corner up-permost to which is usually sewed a strand of stout silk fort
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . should be cut and kept in readiness on theinstrument table. If the intestines are apt to be much ex-posed, hot towels and pads should also be at hand. These are 122 The Surgical Assistant. made ready when needed, by folding them in the center of atowel, which is to be dipped into a basin of water kept hotover a small flame. The towel is then wrung by its dry ends,and the pad is lifted out. Laparotomy pads should be handed with that corner up-permost to which is usually sewed a strand of stout silk forthe attachment of an artery clamp to be left hanging outsidethe belly. With pads or abdominal packings should behanded, for their introduction, a pair of blunt scissors curvedon the flat, or a similarly shaped instrument. (Figure 32.) Split compresses are made by dividing folded pieces ofgauze half way through their middle. They are useful forsurrounding an appendix to prevent soiling of the othertissues when it is amputated, for dressing about the project-ing end of a drainage tube, Fig. 33. Handing cigarette drain. The Mikulicz bag consists in a few layers of gauze whichare laid flat into a wound {e. g., after nephrotomy) andtucked into all its recesses. The edges of the bag projectbeyond the skin. Packings are laid in the wound thus linedwith gauze, and renewed at intervals, the bag- itself being left Drains and Packings. 123 in place for several days (usually until it is loosened bywound secretions). Gauze drains should be trimmed evenly, and freed ofravelled strands. The cigarette {or Morris) drain consistsin a wick or roll of gauze of appropriate size, wrapped ingutta-percha tissue. The free edge of the rubber may befastened down by slightly moistening it with gauze must project beyond the rubber at each end. Thisdrain combines the advantages of gauze capillarity with theease of removal of rubber tubing. It is introduced withdressing forceps or with th
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
