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
Artery, by reason that the little lateral Arteries might otherwise let out
Blood.
The Artery ought not to be cut between the two Ligatures, lest the first
Ligature shou'd be forc'd by the Impulsion of the Blood; but the Thread
must be let fall, that it may rot with the Suppuration. Then the Wound may
be dress'd with Pledgets, Bolsters strew'd with Astringent Powders and a
Plaister; a Bolster being also laid in the Fold of the Elbow. {255}
_The Bandage_
Is made with a Band six Ells long, and an Inch broad, roll'd with one end,
being at first apply'd with divers Circumvolutions under the Elbow, and
moderately bound. Many turns are to be made, and a thick and streight
Bolster, is to be laid upon the Tumour, (as in the Bandage for Phlebotomy)
along the Artery, till it pass under the Arm-Hole: The Arm and Bolster must
be surrounded with the Band, which is brought up with small Rollers, to the
Arm-Pit, and stay'd with Circumvolutions round about the Breast. Afterward
the Patient is to be laid in his Bed, with the Arm lying somewhat bended on
the Pillow, and the Hand a little higher than the Elbow.
* * * * *
CHAP. XXIII.
_Of the Operation of _Phlebotomy_._
To perform this Operation, the Surgeon holds the Lancet between his Thumb
and Fore-finger, and three other Fingers lying upon the Patient's Arm, and
thrusts the Point of the lancet into the Vessel, carrying the same Point
somewhat upward, to make the Orifice the greater. If a Tendon, which is
known by its hardness; or an Artery, which is discover'd by Pulsation,
appear beyond the Vein, and very near it, the Lancet must be only set very
{256} forward in the Vein, and drawn back again streight, without turning
it up, otherwise the Artery or Tendon wou'd be certainly cut with the
Point. If the Artery or Tendon lies immediately under the Vein, the later
must be prickt somewhat underneath, holding the Lancet inclin'd side-ways,
and thrusting it very little forward; so that the Point will finish the
Opening, by turning it upward.
If the Artery stick too close to the Vein, the later is to be prickt higher
or lower than it is ordinarily done; and if the Vein be superficial, and
lie close upon a hard Muscle, the Lancet must not be thrust downright into
the Vein, but it is requisite to carry it somewhat obliquely, and to take
the Vessel above, lest the Muscle and its Membrane shou'd be prickt, which
wou'd cause a great deal of Pain, and perhaps a vehement Inflammation. It
is well known that the Veins of the Right Arm are usually open'd with the
Right-hand, and those of the Left-Arm with the Left-hand.
_The Bandage_
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