Volume 2
Practical surgery : containing the description, causes, and treatment of each complaint, together with the most approved methods of operating / by Robert White.
- White, Robert
- Date:
- 1796
Licence: Public Domain Mark
Credit: Practical surgery : containing the description, causes, and treatment of each complaint, together with the most approved methods of operating / by Robert White. Source: Wellcome Collection.
184/424 (page 164)
![by catching the veffel’s mouth with the tenaculury)) and paffing a fmall needle and ligature round it, than by forming the noofe. A large ftump_ below 7 the knee has often required fix or eight flitches. | Care fhould be taken to leave the ends of the liga- | tures long enough to hang out at the edges of the | wound, in the manner already defcribed under ars] ticle, Wounds. | ‘f If the patient be rather faint, after the larger vef- 7 fels are fecured, it will be neceflary to loofen the tourniquet, and to fpunge the furface with warm?) water, in order to invite hemorrhage before the | ftump is clofed up; by which means, and at them fame time giving the patient a little wine, or wine — and water, a lurking veffel has been detected, which might have’ been the fource of much’ pain and trouble ; every blood-pafs therefore fhould be thoroughly explored, for fear alfo of a matertal ~ interruption to healing by the firft intention. - The blood veffels being perfectly fecured, and — the ftump well fpunged with warm water, the neat ~ bufinefs is, to bear the fkin as forward as poflible — “over the ftump, and retain it fo by. means of a cir- — cular roller, made of fine welfh flannel, which is to’ — be bound gently round the limb, and fhould never — be omitted on any pretence whatfoever, firft fixing — it round the waift, or above the fuperior joint, and — winding it down to the end of the ftump. The ~ ends of the divided mufcles, and the edges of the fkin, are then to be placed in regular order, and to be retained fo by long flips of adhefive plafter; — the covering dreflings then to be apphed are foft lint, fpread with a mild cerate, and a pledgit of © fine tow over it ; a thin comprefs of fine rag, with — ~acrofs-cloth, and avery flight retentive bandage. — A thin linen night-cap turned over the dreffings, | and flightly faftened with tape at the upper part, is preferable. | The crofs-ftitch has been ufed for the fame re- tentive](https://iiif.wellcomecollection.org/image/b33086618_0002_0184.jp2/full/800%2C/0/default.jpg)