Surgery, with Special Reference to PodiatryStern, Maximilian
Science
Surgery, with Special Reference to Podiatry
Stern, Maximilian
Foot -- Surgery; Surgery
The old leather pocket syringes, on account of their not bearing water
at high temperature without deterioration, should not be employed;
this applies also to that variety of glass barreled metal-mounted
syringe in which the glass is screwed into the metal end pieces.
The best syringes are those made of all metal or of all glass, the
latter being preferred because one may see the contents and express
out the air before injecting. Syringes of this type, because of the
accurate fitting piston, must be thoroughly dried out after use, as
the piston may stick fast within the barrel. All-glass or all-metal
syringes must be selected with care as they are often imperfect, the
calibre of the barrel being unequal in different parts of its length
causing the piston to fit tightly in some parts, and thus to work
with difficulty; and in other parts fitting loosely, allowing the
fluid to escape backwards.
Syringes are also made in various sizes and shapes to meet certain
requirements. For the edematization of large areas of loose tissue,
where a considerable amount of a weak solution is intended, the use of
a large barreled syringe will be found to save time and the annoyance
of refilling.
For such work a five or ten c.c. syringe would be the most useful. The
ordinary hypodermic syringe is about of two c.c. capacity (thirty
drops), and serves the purposes of every-day work. It does very well
for the amount of an anesthetic solution employed in opening an
abscess or in the removal of a small cyst or lipoma or papilloma.
A barrel, large in diameter, requires more pressure on the piston in
its operation unless the needle employed is also correspondingly
large. For this reason, if the tissue in which the solution is to be
injected is not loose or cellular, it will be found better to use a
syringe in which the barrel is long and narrow. Such is the shape of
the syringe intended for the injection of the gums, the peridental
membrane, and also for the periosteum, cartilage or bony cellular
structure. A long instrument is also required for use in the large
cavities of the body such as the mouth, the vagina, or the rectum. In
these localities, an extension fitting is often required to lengthen
the instrument sufficiently to reach the desired part. It is also
possible to attain this end by using a long needle; this, however,
sacrifices rigidity.
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