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
=To bandage both Breasts.=—This is readily done by first bandaging
one breast and then, carrying the roller over the shoulder of the
side already bandaged, bringing it across the sternum and under
the second breast on to the horizontal turns, which it follows
alternately with the oblique ones, as was done in bandaging the
first breast. The only difference is, that in compressing the first
breast the bandage was passed obliquely upwards, for the second it is
carried obliquely downwards over the breast.
=Spica Bandage.=
_Apparatus._—1. A roller or 2½ or 3 inches wide.
2. Some pins.
Lay the end on the groin to be bandaged, carry the roller between the
great trochanter and the crista ilii round the pelvis to the other
side, passing there also between the crista ilii and trochanter;
next take the roller downwards in front of the pubes to the injured
groin, then outwards round the thigh below the trochanter to the
gluteal fold, and pass it up between the thighs to the groin, where
the figure of 8 is completed. A second and a third are to be passed
in the same way, carrying them exactly one over the other, round the
body and below the buttock (see fig. 8); at the groin they should
overlap, each lying a little above the preceding turn. A pin, when
the necessary number of turns is completed, fastens down the end.
[Illustration: Fig. 8.—Spica for the Groin.]
=Hernia Spica.=—The spica bandage is usually required to keep
dressings and compresses in place over wounds after operation for
strangulated hernia, sinuses, &c., in the groin; when the figure of
8 has been put on the first time it may be cut across in front; and,
the dressings being changed, the ends may be fastened together by
pins. If additional strips are laid across and fastened to the figure
of 8 underneath, the required pressure is obtained, and much tedious
lifting of the patient is saved (see fig. 9.)
[Illustration: Fig. 9.—Hernia Spica.]
=Body bandage for tapping the Belly in Ascites.=—This is made of two
thicknesses of stout flannel, 2 feet wide in the middle, where it
forms a continuous sheet for 18 inches, but beyond that it is split
into 3 tails, 6 inches wide and 3 feet long. In the middle line, 4
inches below the centre, is a round hole 2 inches across, through
which the surgeon reaches the skin to insert the trocar.
When in use, the middle of the bandage is placed in front with the
hole in the mesial line of the body, and midway between the umbilicus
and pubes; the ends of the right side are passed behind the back to
the left, interlacing with those from the left side. When all is
ready, an assistant standing on each side of the bed pulls steadily
on the ends to keep up continuous pressure on the abdominal viscera
as the fluid escapes. After the fluid is evacuated the ends are
wound firmly round the body in front, while the puncture in the wall
of the belly is closed by a fold of lint attached with a strip of
plaster.
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