The body is turned on the right side, and, by means of a trephine, a
round hole is cut into the back of the skull, about two inches above
the cerebellum; the piece of bone thus taken out is preserved so as
to be replaced into the opening after the operation is finished.
Previous to cutting through the skull, a small incision in the shape
of a cross, about two inches in length, each way, must be cut in the
skin. The object of this is to leave the bone denuded after the skin
has been detached from the bone, and also to bring the parts together
by sewing, after the brain has been removed.
Through the opening thus made in the skull, the brain, or the portion
of it which can be reached, is easily removed by means of a small,
slender spoon, with a long handle, made for the purpose. The cavity
thus made in the head is to be filled with the following:
Take two gallons or more of water, and saturate with alum, as
much as it will dissolve; then mix with plaster of paris to the
consistency of _very thin paste_, and fill the cavity of the brain;
some cotton may then be introduced to keep the mixture inside; the
round piece of bone cut from the skull is then replaced, the flaps
of the cut in the skin brought together and neatly sewed up; if
this operation is carefully performed, the cuts thus made cannot be
perceived under the hair.
Great caution should be exercised while removing the brain, in not
wounding any of the veins and arteries which are inside that part of
the skull, and with a little care this can be easily avoided.
The body is then turned again on the back, in the former position,
and all the cavities in the thorax and the abdomen, between and under
the intestines, the liver, the lungs and the heart, must be well
cleaned and dried with a sponge of all liquid or serum that might
be found; pulverize some tannic acid into fine powder, and sprinkle
heavily around and between the organs of the thorax and the abdomen;
the sternum is then replaced over the thoracic opening, the flaps of
the skin temporarily brought back over the abdomen, and the body,
being enveloped in a sheet or some linen cloth, well saturated with
the _lotion for the face_ as given in the first part of this chapter.
The face, hands, feet, in fact every inch of the surface of the body,
above and under, is to be covered with the cloth, tightly wrapped
around it and well saturated as above directed.
The body must be kept in this condition for about twelve hours, when
the cloth is to be removed; the sternum is then raised again and the
skin over the abdomen thrown back; a mixture of plaster of paris and
alum, prepared as described above, is then poured over the whole of
the thoracic and abdominal viscera, being careful to fill completely
all the interstices existing between and under the different organs
and the intestines.
Public-domain text, read in full here on John Shaqi.
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