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
A Bolster and Paste-board are to be laid upon the _Sternum_, almost of the
same Figure with the Part; and the Bandage is to be prepar'd with a Napkin
supported with a Scapulary. Or else the Bandage call'd _Quadriga_ may be
made with a Band roll'd with two Heads, five Ells long, and four Fingers
broad: The Application of this Band is begun under the Arm-pit; the Figure
of KY is form'd under the Shoulder; the Band is carry'd downward with the
two Balls, once before, and the other behind; it is pass'd under the other
Arm-hole; the Heads are cross'd upon the Shoulder, and it is brought down
backward and forward, forming a KY before and behind. Afterward the Bank is
roll'd about the Breast in making Rollers or Bolsters; these Rollers are
continu'd till the Band be terminated; and it is stay'd by a Cirumvolution
round the Breast.
* * * * *
CHAP. VII.
_Of the Fracture of the _Vertebra_'s._
The _Apophyses_ of the _Vertebra's_ are commonly broken, and their Bodies
but seldom: It may be known that the Body of the _Vertebra_ of the Neck and
Back is fractur'd by the Palsie of the Arm, accompany'd with the loss of
Feeling; by the suppression of Urine; {282} and by the Palsie of the
_Sphincter_ of the _Anus_; so that the Excrements cannot be any longer
retain'd. If these Symptoms appear, it may well be conceiv'd that the
Marrow is compress'd, and prickt with Points; for the removing of which, it
is necessary to make an Incision upon the Body of the _Vertebra_ in the
fractur'd Place.
If the _Apophyses Spinosæ_ are only fractur'd, these Accidents will not
happen, only some Pain will be felt: To reduce 'em, the Patient is to be
laid upon his Belly, and the Surgeon must use his utmost endeavours to
raise up the Bone again, and to set it in its Natural Situation.
_The Dressing and Bandage._
If the _Apophysis Spinosa_ were fractur'd, it wou'd be requisite to apply
to each side of it a small long Bolster, which is to be cover'd with a
Paste-board of the same Figure with the Bolster; another Bolster lying upon
each Paste-board. The Bandage is to be made with a Napkin sustain'd by its
Scapulary; or else the _Quadriga_ may be prepar'd, according to the manner
we have already describ'd in the Fracture of the _Sternum_.
* * * * *
{283}
CHAP. VIII.
_Of the Fracture of the _Os Sacrum_._
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