The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatusHill, Berkeley
Science
The essentials of bandaging: $b including the management of fractures and dislocations, with directions for using other surgical apparatus
Hill, Berkeley
Bandages and bandaging; Dislocations -- Treatment; Fractures -- Treatment; Surgery, Minor
_The kite’s-tail plug._—Masses of cotton wool the size of a hen’s
egg are tied at two inches distance from each other along a long
string. When about a dozen are tied on, a speculum is introduced, and
the first ball of wool is passed to the bleeding point and pushed
firmly against it, and then another, and so on, until the vagina is
firmly packed. An end of string is left hanging out of the vulva,
whereby the plug may be removed when necessary. Each mass comes away
successively with ease as the string is pulled out of the vagina.
=Injecting the Urethra= often fails from the inefficient mode in
which it is done. The syringe employed should be short enough to be
worked easily with one hand, and need not contain more than one or
two tea-spoonfuls, as the capacity of the urethra does not exceed
that amount. One of such a size is just 2 inches in length, and
easily worked by one hand. The opening through the nozzle should also
be wide, that a forcible stream may be injected into the urethra.
The patient should fill the syringe, then place on a chair or stool
before him a chamber pot, and, having just made water to clear out
the discharge collected in the urethra, he inserts the slightly
bulbous nozzle into the meatus urinarius. He then grasps the sides
of the glans with the left forefinger and thumb to close the mouth
of the passage. The right forefinger next presses down the piston
slowly, so that the whole of the injection passes into the canal and
distends it; keeping the meatus shut with his left finger and thumb,
the patient lays down the syringe and rubs the under part of the
penis backwards and forwards, that the injection may be forced into
any folds or follicles of the mucous membrane. Having thus occupied
about thirty seconds, he releases the mouth of the passage, when the
fluid is ejected sharply into the vessel placed ready to receive
it. This rapid ejection is a test of the proper performance of the
operation.
In counselling the use of astringent solutions, the surgeon should
always caution the patient not to employ one that produces severe
smarting, which lasts more than a few minutes after injection. If it
causes much pain, the solution is too strong.
=Catheters and Bougies.=—Silver catheters are made in sizes,
increasing from No. ¼ to No. 12, the first having a diameter of
0·64 inch, the latter 0·25 inch. Larger ones than these are seldom
employed.
[Illustration: Fig. 84.—Silver catheter.]
[Illustration: Fig. 85.—English Flexible catheter.]
The curve preferred by different surgeons varies much; that depicted
in fig. 84 is the one used by Sir Henry Thompson; it begins at 3¼
inches from the point, and ends when the point is at right angles
with the stem. Each catheter is fitted with a wire stylet.
Public-domain text, read in full here on John Shaqi.
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