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
Is undertaken when those Parts are full of Water, after this manner: Assoon
as the Patient is plac'd in a convenient Posture, either {231} standing or
sitting, the Operator lays hold on the _Scrotum_ with one Hand, presseth it
a little to render the Tumour hard, and makes a Puncture, as in the
_Paracentesis_ of the _Abdomen_. In an _Hydrocele_ that happens to young
Infants, the Opening may be made with a Lancet, to take away all the Water
at once: But in Men, especially when there is a great quantity thereof, it
is more expedient to do it with the sharp-pointed Pipe; but the Testicles
are to be drawn back, for fear of wounding 'em with the Point of the
Instrument.
If the _Hydrocele_ be apparently _Encysted_, the Membrane containing the
Water is to be consum'd with Causticks, which is done by laying a Cautery
in the place where the Incision shou'd be made, and afterward opening the
Escar with a Lancet.
When the Puncture is made, it ought to be done in the upper-part of the
_Scrotum_, because it is less painful than the lower, and less subject to
Inflammation.
* * * * *
CHAP XI.
_Of the Operation of _Gastroraphy_._
This Operation is usually perform'd when there is a Wound in the Belly so
wide as to let out the Entrails. If there be a considerable Wound in the
Intestine, it may be sow'd up with the Glover's Stitch, the manner of
making which we have before explain'd. If {232} the _Omentum_ or Caul be
mortify'd, the corrupted Part must be cut off; to which purpose it is
requisite to take a Needle with waxed Thread, and to pass it into the sound
Part a-cross the Caul, without pricking the Vessels. Then the Caul being
ty'd on both sides with each of the Threads that have been pass'd double,
may be cut an Inch below the Ligature, and the Threads will go thro' the
Wound, so as to be taken away after the Suppuration. Afterward the
Intestines are to be put up again into the Belly, by thrusting 'em
alternately with the end of the Fingers. But if they cannot be restor'd to
their proper Place without much difficulty, Spirituous Fomentations may be
made with an handful of the Flowers of Camomile and Melilot, an Ounce of
Anise, with as much Fennel and Cummin-Seeds; half an Ounce of Cloves and
Nutmegs: Let the whole Mass be boil'd in Milk, adding an Ounce of
Camphirated Spirit of Wine, and two Drams of _Saccharum Saturni_, with two
Scruples of Oil of Anise, and bathe the Entrails with this Fomentation very
hot. Otherwise,
Apply Animals cut open alive; or else boil Skeins of raw Thread in Milk,
and foment 'em with this Decoction in like manner very hot.
Public-domain text, read in full here on John Shaqi.
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