Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this SubjectNunnamaker, Albert John
Science
Anatomy and Embalming: A Treatise on the Science and Art of Embalming, the Latest and Most Successful Methods of Treatment and the General Anatomy Relating to this Subject
Nunnamaker, Albert John
Embalming
=The Direct Incision.=—Sometimes before the body is embalmed or a day
or two after the body has been embalmed, there is a distention of the
abdominal wall indicating gases and there may or may not be purging
from the mouth and nose. From the great number of cases that have been
posted in our anatomical laboratories, it has been found that the gas
that has accumulated is as a rule located in either the stomach, the
transverse colon, or the colons in general, but rarely in the small
intestines to the extent that it would do much damage. By the use
of the direct incision, make a cut with a sharp scalpel, about three
inches long in the median line of the body over the abdomen. Start the
cut about one inch below the ensiform process of the sternum and cut
toward the navel. After a cut has been made three inches in length on
the skin, direct the scalpel downward so that it enters the abdomen.
Place the index and second finger in the incision thus made pressing
the organs from the abdominal wall, and carefully cut upward between
the two fingers. This will prevent the operator cutting any of the
underlying intestines.
The incision having been made, it is evident now that the part
containing the gas will come up into the incision. If the stomach
contains the gas it will come up, if the transverse colon contains
the gas it will come up, but that makes no difference, for it is the
part with the gas that the operator is after. Usually the transverse
colon will be the first to come up into the incision, now take hold
of the part with your artery forceps and with a pair of scissors make
a clip through the wall, this will let the gas escape. Do not let
the gas escape into the room not deodorized, so place over the hand
quickly after you have made the clip, a towel, or absorbent cotton
that has been saturated with formaldehyde, this will both deodorize and
disinfect the gas. Keep hold of the part until all the gas has escaped,
and then pick up the arterial tube and inject a small quantity of fluid
in the colon, and then sew up with the circular stitch. Then locate the
stomach, which can easily be found if it contains gas and treat it in
the same way, relieving the gases and then placing a small amount of
fluid inside. Treat the other several parts of the intestines in the
same way if gas be present and it is remarkable how quickly the abdomen
sinks to its normal level. After this has been done place hardening
compound or common salt in the cavity, and placing a layer of absorbent
cotton in the abdomen under the incision, sew up neatly.
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