Operative surgery on the cadaver / by Jasper Jewett Garmany.

  • Garmany, Jasper Jewett.
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: Operative surgery on the cadaver / by Jasper Jewett Garmany. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

    19/182 (page 3)
    posterior and superior lateral wall. Tlie walls of tlie vagina are separated, allowing air to distend the canal. To liold the speculum, the assistant must stand behind the body and use the width of his hand like a wedge betAveen the buttock and upper blade of the speculum. The isthmus lies against the palm of the hand, and the superior part between the in- dex-linger and thumb, leaving the other fingers free. An instrument to depress the vaginal folds ob- structing the view may be necessary. Hectal Speculum.—Place the subject on the back mth the thighs separated; or on the side with the knees pushed up close to the abdomen. A reflecting cylindrical speculum with a portion of its circumfer- ence deficient, or one of the valve specula, may be used. Lubricate the point of the instrument. Insert, directing the point of the instrument toward the bladder, hence somewhat forward, for the first inch and a half. Now the point of the instrument is to be directed nearly horizontally backward, toward the hollow of the sacrum. If a valve-speculum is used, it is to be opened, after it is fully introduced, and again shut before beginning to be removed. Manipulate the speculum to bring into view every part. The nozzle of a syringe must follow this same course durino^ its introduction. n. CATHETERIZATIO]^ OF EUSTACHIAIS TUBE, IS^ASAL DUCT ; rr^TUBATIOoN^ OF TRACHEA ; USE OF STOMACH-TUBE, (ESOPHAGEAL PEOBAIN^G, URETHEAL SOUND OR CATHE- TER, RECTAL BOUGIES. MistacJiian Catheter (Noyes).—Pass the catheter, keeping its point against the floor of the naris until