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
If the Fracture be only on one side, a Bolster sow'd to a piece of
Paste-board is to be laid upon the flat side of the Jaw, both being of the
Figure and Size of the Jaw it self. The Bandage of this Fracture is call'd
_Chevestre_, i.e. _a Cord or Bridle_, by the _French_ Surgeons, and is made
by taking a Band roll'd with one Head or End, three Ells long, and two
Fingers broad; the Application of it is begun with making a Circumvolution
round about the Head in passing over the Fore-head; then the Band is let
down under the Chin, and carry'd up again upon the Cheek, near the lesser
Corner of the Eye in passing over the Fracture; afterward it is rais'd up
to the Head, and brought down again under the Chin, {275} to form a Roller
or Bolster upon the Fracture: Thus three or four Circumvolutions and
Rollers being made upon the Fracture, the Band is let down under the Chin,
to stay and strengthen its several Turns, and is terminated round the Head,
in passing over the Fore-head.
If the Jaw be fractur'd on both sides, it wou'd be requisite to apply
thereto a Bolster and Paste-board, perforated at the Chin, and of the
Figure of the entire Jaw; the Bandage which we have even now describ'd, may
be also prepar'd in making Rollers on both sides of the Jaw: Or else the
double _Chevestre_ may be made with a Band of five Ells long, and two
Fingers broad, roll'd up with two Balls, that is to say, with the two Ends.
The Application of this Band is begun under the Chin, from whence it is
carry'd up over the Cheek, cross'd upon the top of the Head, and brought
down behind the Head, where it is cross'd again; then it is let down under
the Chin, cross'd there, and carry'd up over the Fracture; afterward the
Band being pass'd three or four times over the same turns, in making
Rollers upon the Jaws, is turn'd upon the Chin, and stay'd upon the
Forehead round about the Head.
* * * * *
{276}
CHAP. III.
_Of the Fracture of the _Clavicle_._
The Patient is to be set in a Chair, and his Arm is to be drawn backward,
whilst an Assistant thrusts his Shoulder forward: In the mean time the
Operator sets the Bones again in their place, by thrusting the
Protuberances, and drawing out the sunk Bone.
Or else a Tennis-Ball may be taken, and put under the Patient's Arm-Pit,
whose Elbow is then to be press'd against his Ribs, whilst the Surgeon
reduceth the Fracture.
Otherwise, the Patient may be laid upon his Back, putting a Convex Body
under both his Shoulders, as a Bowl, or large wooden Porrenger; and then
the Shoulders may be prest, to raise up the two ends of the Bones, which
the Surgeon must take care to reduce.
_The Dressing and Bandage._
Public-domain text, read in full here on John Shaqi.
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