The Student's Handbook of Surgical Operation (Paperback)

This historic book may have numerous typos, missing text or index. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. 1905. Not illustrated. Excerpt: ... part I. LIGATURE OF AKTEKIKS. CHAP. PAGE I.--General Considerations 1 II.--Ligature Of The Arteries Of The Upper Limr . . 8 III.--Ligature Of The Arteries Of The Head And Neck . 22 IV.--Ligature Of The Arteries Of The Lower Limr . . 3(i V.--Ligature Of The Iliac Arteries--External, Common, And Internal 51 part II. OPERATIONS UPON NERVES. I.--Introductory. 62 II.--Operations Upon The Nerves Of The Head And Neck 65 III.--Operations Upon The Nerves Of The Upper And Lower Extremities 74 i THE STUDENT'S HANDBOOK OF SURGICAL OPERATIONS. Part I. LIGATURE OF ARTERIES. CHAPTER I. General Considerations. Instruments Required.--1, scalpel; 2, two pairs of forceps, the ordinary dissecting one and a fine toothed pair; 3, small blunt hooks; 4, retractors; 5, long toothed forceps; 6, pressure forceps; 7, aneurysm needle; 8, ligatures; 9, vivisector's tool or dissecting instrument. Small blunt hooks, with long shafts, are most convenient as retractors, especially to draw nerves and tendons out of the way. There is considerable choice in the form of ligature used, the most essential points being (a) that it should be strong enough without being cumbrous or too rigid (if chromicised catgut be used it may cut through the wall of an artery or vein like wire), (b) that it should be resistant enough to last as a firm knot for at least ten days or so, and (c) that it should bo perfectly aseptic when introduced into the tissues. Kangaroo tendon, catgut, and soft silk of medium thickness may all be recommended. Whichever is emu ployed, it should have been kept in alcohol and not in an oily medium. The ligature to be applied should always be selected -with great care and well tested. It should be allowed to soak for ten minutes or so in sterilised water, and should then be again examined...