1000 Surgical Suggestions; Practical Brevities in Diagnosis and Treatment (Paperback)

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: replace the needle by a grooved director, however. The presence of diabetes should not in itself deter the surgeon from giving a patient with that malady the benefit of relief from a surgical disease. When clamping a vein in continuity secure the proximal end first; otherwise it will empty and may become lost to view. For temporary occlusion of a large vessel a soft clamp, compressing fingers or angulation by traction on a tape or silk strand placed beneath, are all to be preferred to the application of a ligature, which may damage the vessel wall. To secure the Trendelenburg position in an emergency without a special table, an assistant may stand between the patient's thighs with his back to the perineum, and hold the legs over his shoulders. No scalp wound is too small to receive scrupulous aseptic attention. Transverse scalp wounds require comparatively many sutures, longitudinal wounds but few. Placing the skin sutures in the scalp obliquely will often control hemorrhage from a wound as well as will ligating separate vessels. If a scalp wound extends through the periosteum it is safest to sew the periosteal wound at once and leave the scalp unsutured for twenty-four hours. Fracture should be excluded, if possible, before closing the periosteum. Depilatories are useful in the preparation of the scalp for the treatment of abscesses or infected wounds, when the nature of the infection or the matted condition of the hair makes shaving difficult. A small, hard, irregularly nodular scalp tumor is very likely an endothelioma. A little section should be removed under local anesthesia for miscroscopical examination. If the diagnosis is corroborated, radical extirpation is necessary. Lipomata of the scalp often undergo cystic degeneration. A tumor which ...