Illustrations of the great operations of surgery, trepan, hernia, amputation, aneurism, and lithotomy / By Charles Bell.
- Charles Bell
- Date:
- 1821
Licence: Public Domain Mark
Credit: Illustrations of the great operations of surgery, trepan, hernia, amputation, aneurism, and lithotomy / By Charles Bell. Source: Wellcome Collection.
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![THE OPERATION, AS ILLUSTRATED BY THE FIRST AND SECOND PLATES. INTEGUMENTS. The flap A was laid down by the blow, so that the skull was uncovered. It was only necessary to en¬ large the wound towards the temple, and dissect up the flap B a very little. Note, When the bone is suspected to be fractured, and it is necessary to divide the integuments, take care to avoid making angles; for they shrink during the cure, and leave the bone bare. Take care how you press the edge of the knife perpendicularly upon the bone, for it may enter a fissure. If possible, avoid taking up the arteries of the scalp. Let the assistant put a piece of lint upon the mouth of the vessel, and hold it during* the operation. If the artery must be secured, it ought to be taken up with the tenaculum. It is a barbarous practice to push the needle through the scalp, and include a part of the integument in the ligature. PERICRANIUM. When the scalp is opened the surgeon receives the Rasparatory [fig. 6. PI. I ], with which he takes off the Pericranium from the part of the bone on which he intends to plant the Trephine.](https://iiif.wellcomecollection.org/image/b30456095_0027.jp2/full/800%2C/0/default.jpg)