Operative Surgery Volume 1

Operative Surgery Volume 1

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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. 1899 edition. Excerpt: ...The short saphenous vein lies superficially and closely to the outer border. The Division of the Tendo Achillis.--Place the patient on a bed with the foot extending over the edge; forcibly fiex the foot to make the tendon tense (Fig. 297); draw the skin outward away from the tendon to remove the saphenous vein from danger; introduce the blade of the tenotome with the flat surface parallel with the tendon close to its outer or inner border, as is most convenient; carry the point of the blade to the opposite side of the tendon and depress the handle to a horizontal position; turn the edge toward the tendon and cut carefully through the structure with a guarded sawing motion, while the foot is. firmly flexed and the tendon is pressed upon the edge 'with the finger. At the last stage of the procedure great caution is essential, otherwise a sudden giving way of the tendon may cause the severance of the superimposed tissues. All of the precautions previously enjoined in tenotomy should be exercised in this instance. After carefully pressing the air and blood from the wound by carrying the thumb and finger of the left hand toward the cut, the wound is closed by a catgut stitch or by an antiseptic compress held in place by a fold of sterile gauze. When the position of the foot is properly rectified, it should be held thus (Fig. 298) by a long adhesive strip (2, 3) carried up the leg from a thin strip of wood (4) strapped (1) to the sole of the bandaged foot and held in position by adhesive plaster or bandages. A thin plaster-of Paris splint applied to the leg and foot with the latter in the rectified po sition will hold them in proper relation. If / gradual rectification be practiced, these re straining infiuences should not be employed...
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Product details

  • Paperback | 242 pages
  • 189 x 246 x 13mm | 440g
  • United States
  • English
  • black & white illustrations
  • 1236890779
  • 9781236890771