Plastic and cosmetic surgeryKolle, Frederick Strange
Science
Plastic and cosmetic surgery
Kolle, Frederick Strange
Surgery, Plastic
[Illustration: FIG. 284.—ECKSTEIN METHOD OF INSULATING NEEDLE AND
SYRINGE.]
Paget and Harmon Smith warm the needle in hot sterilized or even boiling
water. Previous to this Smith cools the contents of the syringe drawn
into it at a temperature of 120° F. by immersing the latter in a bath of
sterilized water at a temperature of 80° F.
From the above it will be noted that Smith advocates using the injections
in semisolid state being ejected in a thin, cylindrical thread. A syringe
of special construction, as referred to later, is, of course, required
for such work.
Quinlan has invented a so-called paraffin heater, as shown in Fig. 285,
in which the paraffin is kept in solution by the syringe being surrounded
by a continuous flow of hot water. A plain and very objectionable syringe
is shown in the illustration, and while the preparation in the syringe
is thus kept in a liquid state the solidification in the needle is not
overcome.
[Illustration: FIG. 285.—QUINLAN PARAFFIN HEATER.]
Downie winds fine platinum wire about the needle through which he passes
the current from a storage battery to keep the needle hot, yet such an
arrangement is obviously difficult of manipulation, and when paraffins of
high melting points are employed it is quite likely that a plug is formed
in the exposed point of the needle.
Karewski has introduced a syringe having a jacket through which hot water
is allowed to circulate, while similar instruments have been originated
by Pflugh and De Cazeneuve. None of these overcome the difficulty in
question.
Viollet went even further by inventing a syringe surrounded with a coil
of resistance wire, heated by an electrical current, and Delangre, Ewald,
and Moszkowicz use special thermophorm sleeves over the syringe proper;
all, however, offering the same objection in the exposure of a part
of the needle in which temperature of the liquid must necessarily be
lowered, or be low enough to cause plugging, the very fault for which all
these modifications have incidentally been urged, as the greater amount
of paraffin in the syringe itself is as a rule large enough to retain
sufficient heat to permit of its ejection, if the injection is made as
expeditiously as possible.
The objection of the setting of the paraffin in the barrel of the syringe
has never hampered any operator, the difficulty in these instances
having been entirely due to the obstruction offered its ejection by the
threadlike plug obstructing the metal cannula before it; the barrel,
being glass, retains its temperature more readily than the thin metal
needle, hence the difficulty.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account