Pye's surgical handicraft : a manual of surgical manipulations, minor surgery and other matters connected with the work of house surgeons and surgical dressers / [Walter Pye].

  • Walter Pye
Date:
1891
Catalogue details

Licence: Public Domain Mark

Credit: Pye's surgical handicraft : a manual of surgical manipulations, minor surgery and other matters connected with the work of house surgeons and surgical dressers / [Walter Pye]. Source: Wellcome Collection.

    28/604 (page 4)
    and thirdly, to remember that pressure will always eftectually stop the flow of blood, if it be applied to the wound itself. The measures which are most immediately effective for the restraint of severe haemorrhage from vessels of all lands, provided it is caused by external violence, now remain to be considered. Thoroughness Pressure will here be even more necessary than in the other essential. iovms, and to be effectual it must be attained by_ plugging. Harm can only come of tying up a wound in a half- hearted way, laying on covering after covering, rather with the idea of hiding the danger, than mastering it. On the other hand, a furious rush of blood, such as may. come from Plugging and a wounded carotid, or a ruptured anevu'ism, may be for pressure. ^ ^-^^ controlled by a firm and judicious plugging of the wound, followed by pressure over it. . . ^ • Materials for The best and most convenient material for plugging plugging. ^ wound is some one of the absorbent and medicated . , , , preparations, having as a basis cotton wool from which the Medicateawooi.i^ i .-^^^^ ^^^^ l^ee^ removed, such as the sal- alembroth wool, which has incorporated m its mephes mercuric perchloride. This material is generally stained blue for distinction from ordinary absorbent cotton ihe bicyanide wool recently recommended by bir Joseph Lister, salicylic and boracic acid, iodoform, and some other antiseptic preparations, can be also incorporated with wool or gauze, and used for plugging. All this kind of material thould be used dry, small pieces being packed away with a director, until the wound or ca^aty is fallecl. In a similar fashion must the narrow strips of hnt be packed into the wound, very gradually but firmly, care being taken that the deeper parts of the wound are plugged as well as the more superficial ones. If simple cotton wool be used, it will generally be found best to soak it first in water, so as to express the air from £ interstices, but in any case, ^r'''^■nTZ^'^lTtl materials, the packing must be done bit by bit, and veiy ^'pieces of sponge make a good plug used dry, or with som iodoform dusted on them after they havejjeen washed in an antiseptic fluid. Being elas ic they ^^^^^^^ made to exercise considerable P^'f or in such places as the vagina, rectum, oi phaiynx, it is wise attach a^string to the sponge, to ^^^.^^^^^^^^^^^^^^ In recent surgery there is a growing distiust ot sponge Lint. Cotton wool.