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
When the Intestinal Parts are fall'n into the Groin or the _Scrotum_, the
Operation of the _Bubonocele_ may be conveniently perform'd; to which
purpose the Patient is to be laid upon his Back, with his Buttocks somewhat
high; then the Skin being grip'd a-cross the Tumour, the Surgeon holds it
on one side, and the Assistant on the other, till he makes an Incision,
following the Folds or Wrinkles of the Groin; when the Fat appears, it is
requisite to tear off either with a Fleam or even with the Nails, every
thing that lies in the way, till the Intestine be laid open, which must be
drawn out a little, to see if it do not cleave to the Rings of the Muscles.
The Intestine must be gently handl'd, to dissolve the Excrements; and those
Parts must be afterward put up again into the Belly (if it be possible)
with the two Fore-Fingers, thrusting 'em alternatively; but if they cannot
be reduc'd, the Wound is to be dilated upward, by introducing a channell'd
Probe into the Belly, to let the Sizzers into its Channelling. If the Probe
cannot enter, the Intestine must be taken out a little, laying a Finger
upon it near the Ring, and making a small Scarification in the Ring, with a
streight Incision-Knife guided with the {237} Finger, to let in the Probe,
into which may be put a crooked Knife, to cut the Ring; that is to say, to
dilate the Wound on the inside; but care must be had to avoid penetrating
too far, for fear of dividing a Branch of Arteries; and then the Parts may
be put up into the Belly. If the Caul had caus'd the Rupture, it wou'd be
requisite to bind it, and to cut off whatsoever is corrupted, scarifying
the Ring on the inside, to make a good Cicatrice or Scar.
_The Dressing and Bandage._
The Dressing may be prepar'd with a Linnen-Tent, soft and blunt, of a
sufficient thickness and length, to hinder the Intestines from re-entring
into the Rings by their Impulsion, a Thread being ty'd thereto, to draw it
out as occasion serves. Then Pledgets are to be put into the Wound, after
they have been dipt in a good Digestive, such as Turpentine with the Yolk
of an Egg, applying at the same time a Plaister, a Bolster of a Triangular
Figure, and the Bandage call'd _Spica_, which is made much after the same
manner as that which is us'd in the Fracture of the Clavicle.
_Of the compleat _Hernia_ or Rupture._
Public-domain text, read in full here on John Shaqi.
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