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Show AMPUTATION' or rm: 'rmon. :iat ‘21:} AAII‘UIA'J'iON or 'l‘ls'I; Tinco. few minutes now may shew that a, little oozing, which may happen to make its appearance, is, in fact, the bleeding of a considerable artery which begins to act and give out blood when the patient has become revived and hearty. The integuments are now sponged as dry and clean, as may the assistant stretches out the other end of the stra p over the face of the. stump, and upon the thigh. Four or five of these straps bring the integuments, accuratelv and neatly together. Over this we place a web of scraped lint, with some smaller soft dossils; over this some fine tow, betwixt the folds of a he, he muscles pressed forward to close over the bone, and the skin brought down over the surface of the muscles. piece of old linen, so as to make an elastic cushion. ‘ Lastly, the whole is retained by the malta cross (two pret ty broad slips of linen,joined across each other) which is thus: 8. The integuments are brought together from either side, applied over the dressing, the malta cross, or cross slips of linen thus; and the greater number of ligatures brought out by the lower angle. \: \{f‘a‘ ( Lymm M09917} , .r I l \ "<\\ i _ --"*""'*‘N"‘l-"'"0 ‘ _.._\._I. _.,r.. i', t, ‘. A, B, C, D, are applie<. . The flannel roller put once about tinwaist, and pinned up previous to the operation, is ready to luin‘cught down and rolled upon the thigh toward; the stump. \Vhen it. covers the thigh within a hand'r: breadth oi" the stump, the ends of the cross slips of linen, D, C, are put, down 3). As in so great a wound our desire must he to procure adhesion quickly, the chief nicely in the operation of ainputw tion is in the dressing. The surgeon compresses the face Of bound by the remainii 5 turns of the roller E E. The slip D, C, are now drawn in due degree and pinned down; The tourniquet is put loosely about the limb. the stump with a dry cloth, to suppress in this way "10 The patient is to be carried to bed, and laid on a matrase-g slightest oozing, and keep the shin dry for the application of the adhesive straps. The assistant having heated his adhe- the stump laid on a soft pillow, or bedded in soft, tow or cot- sive straps, brings it, and fixes it on one side of the integriuuénis, the surgeon with a motion of his finger (still keeping ‘h; (laps together) fixes it over the lips of the wound, "11"" ton. It is then pinned down to the bed by a broad pircc of linen, and a cradle is put over it, to keep from it the x" ‘ cf the bed~clothes. |
