The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.Le Clerc, M. (Charles Gabriel)
Science
The Compleat Surgeon: or, the whole Art of Surgery explain'd in a most familiar Method.
Le Clerc, M. (Charles Gabriel)
Surgery -- Early works to 1800
The Wound is dress'd with a Tent of Lint arm'd with Balsam, being soft, and
blunt at the end, which enters only between the Ribs, for fear of hurting
the Lungs; but a good Pledget of Lint is more convenient than a Linnen
{229} Tent, however a Thread must be ty'd to the Pledget or Tent, lest it
shou'd fall into the Breast; and Bolsters are to be put into the Wound; as
also a Plaister or Band over the whole. This Dressing is to be kept close
with a Napkin fasten'd round the Breast with Pins, and supported by a
Scapulary, which is a sort of Band, the breadth of which is equal to that
of six Fingers, having a Hole in the middle to let in the Head: One of its
ends falls behind and the other before; and they are both fasten'd to the
Napkin. Thus the Patient is laid in Bed, and set half upright. If the Lungs
hinder the running out of the Matter, a Pipe is us'd, and the Wound
afterward dress'd according to Art.
* * * * *
CHAP. X.
_Of the Operation of the _Paracentesis_ of the Lower-Belly._
This Manual Operation is sometimes necessary in a Dropsie, when Watry
Humours are contain'd in the Cavity of the Belly, or else between the
Teguments. The Disease is manifest by the great Swelling; and the Operation
is perform'd with a Cane, or a Pipe made of Silver or Steel, with a sharp
Stilet at the end; altho' the Ancients were wont to do it with a Lancet.
The Patient being supported, sitting on a Bed, or in a great Elbow-Chair,
to the end that the Water may run downward, {230} a Servant must press the
Belly with his Hands, that the Tumour may be extended, whilst the Surgeon
perforates it three or four Fingers breadth below the Navel, and makes the
Puncture on the side, to avoid the White-Line; but before the Opening is
made, it is expedient that the Skin be a little lifted up. The pointed
Stilet being accompany'd with its Pipe, remains in the Part after the
Puncture; but it is remov'd to let out the Water; and a convenient quantity
of it is taken away, accordingly as the Strength of the Patient will admit.
The Stilet makes so small an Opening, that it is not to be fear'd lest the
Water shou'd run out, which might happen in making use of the Lancet,
because there wou'd be occasion for a thicker Pipe. When a new Puncture is
requisite, it must be begun beneath the former; but if the Waters cause the
Navel to stand out, the Opening may be made therein, without seeking for
any other place.
_The Bandage and Dressing_
Are prepar'd with a large four-double Bolster kept close with a Napkin
folded into three or four Folds, which is in like manner supported by the
Scapulary.
_The Operation of the _Paracentesis_ of the _Scrotum__
Public-domain text, read in full here on John Shaqi.
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