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The Operations of Surgery; Upper Extremity, Head, Neck, and Thorax

The Operations of Surgery; Upper Extremity, Head, Neck, and Thorax


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About the Book

This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1908 Excerpt: ...do damage to the tissues; finally, too liquid paraffin may escape after the needle is withdrawn. Mr. Paget, having tried many forms of needle, prefers that of Eckstein. The syringe and the proximal half of the needle are jacketed with indiarubber, the syringe is easily worked with one hand, and there is a screw-nut on the piston which prevents the paraffin going in with a jerk, and it cannot inject too much paraffin. The skin is duly sterilised. A general anaesthetic is usually required, especially on the first occasion. The paraffin and syringes--it is best always to have two syringes, in case one gets out of order--are kept in a water-bath 6 or 7 above the melting-point. The skin is nicked for the needle; about 6 c.c. of the paraffin are taken up, and the syringe held in the waterbath while the screw-nut is adjusted; then the needle is dipped for a second or two into boiling water. It should not be passed through the flame of a spirit lamp, for this method stains the paraffin in it. To prevent diffusion into the eyelids and forehead an assistant should make strong pressure with his fingers and thumbs meeting in a ring, especially over the lateral aspects of the nasal bones near the inner canthi. Dr. Milligan has used a thin strip of lead moulded around the area of operation; on this pressure is made. The needle is quickly driven into the subcutaneous tissues, its point being well driven down towards the tip of the nose, from above, or introduced a little to one side of the middle line, below the point where the bridge ought to be and directed upwards. The injection should be made at about the rate of one cm. every ten seconds. It is better to inject top little than too much paraffin, a second or a third injection being made later, if needful. The needle s...


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Product Details
  • ISBN-13: 9781231145210
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 496
  • Spine Width: 25 mm
  • Width: 189 mm
  • ISBN-10: 1231145218
  • Publisher Date: 01 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 875 gr


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