Identifier: postoperativetr00mors (find matches)
Title: Postoperative treatment; an epitome of the general management of postoperative care and treatment of surgical cases as practised by prominent American and European surgeons
Year: 1907 (1900s)
Authors: Morse, Nathan Clark. (from old catalog)
Subjects: Operations, Surgical. (from old catalog)
Publisher: Philadelphia, P. Blakiston's son & co.
Contributing Library: The Library of Congress
Digitizing Sponsor: The Library of Congress

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silver-wire, extra large silkworm-gut,or preferably heavy kangaroo tendon sutures are used to hold in appo-sition the separated bones. The sutures should be inserted at leastone-half inch from the margins of the muscular insertion, and shouldinclude all the fibrous tissue down to and including the periosteum.Thev are tied in the median line, cut short, or buried. The superficial 332 POSTOPERATIVE TREATMENT. incision may then be closed after the ordinary method, small rubbertissue drainage being indispensable. The wound is dressed with several layers of iodoform cloth with alayer of Woods or absorbent cotton, all of which are held snugly in posi-tion by means of a broad moleskin adhesive plaster passing around thepelvis immediately below the crest of the ilium, and extending downover the trochanters in order to retain the pelvic bones in apposition.The patient is now placed upon a gutter-shaped bed or mattress, withcushions under the lateral halves of the body. Jewett and others adopt
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Fig. 96.—Ayres Symphysiotomy Hammock, Showing Patient.—(Jewett.) practically the same method, using an ordinary hard mattress andkeeping the patient on two firm cushions placed under the lateral halvesof the pelvis and extending nearly to the shoulders. Mechanical Aids.—An excellent apparatus for maintaining coap-tation of the pelvic bones after symphysiotomy is Ayres hammock bed.This consists of a canvas stretcher supported as shown in Fig. 96. Thestretcher may be made more or less trough-like by adjustment at shorteror longer distances apart of the poles on which it hangs. A canvasslide wide enough to reach well above and below the pelvis is suspended I4ISCELLANE0US OPERATIONS. 333 by its ends from a second scries of poles above the first. The patientrests with her pelvis in the loop of the sling, while the remainder ofher body is supported by the stretcher. It will be seen that the pubicbones are held firmly in apposition by the action of the sling. The author has used an ord

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