The London Medical and Surgical Journal

The London Medical and Surgical Journal

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This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1831 edition. Excerpt: ...advantages required, and has not the inconveniencies of those formerly employed. In this country, the crotchet is fixed in a handle, and is a distinct instrument.--Ed. Use of the sharp Hook.--As the sharp hook cannot diminish the volume of the parts on which it is applied, it is evident that it should be employed only when these parts do not exceed the width of the pelvis of the mother. Place of Election for the Application of the sharp Hook.--The sharp hook can be applied on all places which offer resistance; as the head, the chest, the pelvis, &c.; but of all these, the head requires its use the most frequently. When we use the hook to extract the head, we must always apply it so as to bring out first one of the extremities of its greatest diameter. Thus, when it presents first, the hook ought to be applied on the occiput; and when it presents only after the trunk has been extracted, the hook should be applied on the upper jaw or forehead, or mastoid process. Application of the sharp Hook.--Whenever an obstetrician carries a hook into the womb, says Professor De'sormeaux, he should guide it with, his fingers; he covers its point, to protect the parts of the mother from injury. We ought then to act exactly as if it were a blade of forceps. Thus, one of the hands being placed in the vagina, or even in the womb, we glide the hook over it, and when it has reached the head, we incline it so as to make it penetrate. Labours which require the use of cutting Instcuments on the Infant. Causes.--The foetus may be affected by diseases or mal-conformations, which give it a volume so considerable, that the labour cannot be terminated without the aid of cutting instruments. The most frequent diseases are, hydrocephalus, hydrothorax, and ascites. The...
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Product details

  • Paperback
  • 189 x 246 x 16mm | 540g
  • United States
  • English
  • black & white illustrations
  • 1236669894
  • 9781236669896