drawn up and tightly stitched. A close base-ball stitch should be
used to fasten the scalp-flaps, and a black thread should be used. If
the scalp has been stretched so that it is loose and baggy, a portion
of it may be cut out, so that when sewed together the flaps will fit
tightly. The hair must be freed from all bone-dust and blood-clots,
washed if necessary, then dried, and arranged in its former position
in such a manner as to hide the sutures.
The place of any bone that has been removed may be filled by a piece
of wood cut to the required proportions, and securely fastened
by wire or bolts, or plaster-of-Paris may be poured about it and
allowed to set. After removal of the spinal column or of portions
of it, there may be substituted a block of wood or an iron pipe of
suitable size, which may either be securely fastened above and below
by means of wire or bolts, or it may be held in place by imbedding
it in plaster-of-Paris. These expedients are not necessary after
the removal of the cord alone, but only when entire sections of the
spinal column are removed. When the cord is removed posteriorly the
skin-incision is tightly closed with a base-ball stitch, and then
covered with a strip of surgeon’s plaster or collodion to prevent
leakage of blood and serum after the body is turned over.
The thoracic and abdominal cavities are filled with dry bran,
saw-dust or finely-cut excelsior to fill out the normal contour, a
piece of old cloth or paper is laid over the whole, and the sternum
replaced. It is usually not necessary to fasten the latter, but if
desired the costal cartilages may be stitched together, or wired
when the needle cannot be pushed through the cartilage. When the
tongue and neck-organs have been removed, the lower jaw must be held
in position by fine stitches in the mucous membrane of the lips to
prevent the jaw from dropping and leaving the mouth open. The contour
of the neck may be restored by a pad of cotton.
Public-domain text, read in full here on John Shaqi.
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