A treatise on the operations of surgery : with a description and representation of the instruments used in performing them : to which is prefixed an introduction on the nature and treatment of wounds, abscesses and ulcers / by Samuel Sharpe, fellow of the Royal Society, and member of the Academy of Surgery at Paris.

  • Samuel Sharp
Date:
1788
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on the operations of surgery : with a description and representation of the instruments used in performing them : to which is prefixed an introduction on the nature and treatment of wounds, abscesses and ulcers / by Samuel Sharpe, fellow of the Royal Society, and member of the Academy of Surgery at Paris. Source: Wellcome Collection.

Provider: This material has been provided by University of Bristol Library. The original may be consulted at University of Bristol Library.

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    If iately afterwards perform the future; all times, to favour the joint In thefe tut I do not think this practice ad- diforders, and keep it in that pofture ifeable, for though the divifioh of we find moft eafy for the patient. :ie tendon afford prefent eafe, yet The rifque'of an immoveable coh- ;ae .mere flexion of the joint will traction in fix weeks, is . very little, lave the fame effect, if, for example, but the endeavour to avoid it has : be a wound of a flexor tendon : been the lofs of in my a limb, in half refides, in order to few up the extre- the time. uties of the tendon when divided, But when .the tendon is quite fepa- 'e are obliged to put the limb in rated, and the ends are withdrawn uch a fituation, that they may be from one another, having ^brought rought into contact, and even to them together with your fingersj you aftain it in that pofture to the finifh- may few them with a ftraighf tri'an- •rigof the cure ; if then, the poiture gular-pointedmeedle, patting it from /ill lay the tendon in this pofition, without inwards, and from within .e can like-wife keep it fo without outwards; in fmall tendons, about Ming the future, and more fure of its three-tenths of an'inch from their£x- aot flipping away, which fometimcs tremities, and In the tendo Achillis mppen's from any carelefs motion of half an inch: I have fometimes em- he joint, when the flitches have1 al- ployed two threads in fewing up the inoft woren through the lips of the tendo Achillis, and I believe it is ivound ; on which account, I would g'ener'ally advifeable to do fo, rather >>y all means advife, in this cafe, to than to <m'tt to a fihgle future, i orbear the future, and only to fa- Some furgeons, for fear the mufcle -our the iituation of the extremities fhould contract: a little notwithftand- jf the tendon, by placing the limb ing all our care, advife not to bring Properly. the ends Of the tendon into an exact If it fhould be fuggefted, that, for appofiron, but to lay one a little over want of a farther fepartition, there the other, which allowing for the will not be inflammation 'enough to contraction that always enfues. i'rt produce an adhafion of the feveral fome degree, the tendon wiil become ^arts of the wound, which is par- a flraight line, and not be fhortened f icularly mentioned as the property of ,in its length. As the wound of the tkriis fort of cicatrix, though it be flcin will be nearly tranfverfe, I would tiikewife of all others ; I fay, that not have it raifed to, expofe more of tfche inflammation will be in propor- the tendon, but rather fewed up with toon to the wound, and a fmall it, which will conduce to theftrength wound is certainly more likely to of the future. The knot of the liga- rvecover than a large one. If it fhould ture is to be made as in other wounds, toe objected, that keeping the limb and the dreflings are to be the fame : in one pofture. the whole time of the there is a fort of thin crooked needle ::ure, will bring on a contraction of that cuts on its concave and convex the joint, the objection is as-flrong fides,' which is very handy in the jgainft the future ; and now I am future of large tendons, and to be jpn this fubjeft, I would advife preferred to the flraight one. During furgeons to be lefs apprehertfive of the cure, the dreflings mull be fuper- iontractions after inflammations of ficial, and the parts kept fteady with the tendons, than practice (hews they pafteboard and bandage ; the fmall are : for perhaps there is hardly any tendons re-uriite in three weeks, but one rule has done more niifchief the tendo Achillis requires fix at ie.ift, than that of guarding againft this and by violent exercife I have known confequertce ; and I would lay ft it toren open at the end of ten weeks; down as a method to be purfued at though in the inltance I allude to, I 4. E brought
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