A Reference Handbook of the Medical Sciences, Vol. 4 of 8: Embracing the Entire Range of Scientific and Practical Medicine and Allied Science; ... Seventy-Seven Half-Tone and Wood Engravings - Softcover

Buck, Albert Henry

 
9780243062775: A Reference Handbook of the Medical Sciences, Vol. 4 of 8: Embracing the Entire Range of Scientific and Practical Medicine and Allied Science; ... Seventy-Seven Half-Tone and Wood Engravings

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Excerpt from A Reference Handbook of the Medical Sciences, Vol. 4 of 8: Embracing the Entire Range of Scientific and Practical Medicine and Allied Science; Illustrated by Numerous Chromolithographs and Nine Hundred and Seventy-Seven Half-Tone and Wood Engravings

For the performance of an evisceration a pair of long blunt-pointed scissors is necessary, by means of which the thorax or abdomen is entered after making traction upon the trunk with the prolapsed arm. If the anterior thoracic wall presents it is advisable to excise the sternum together with the adjacent ribs and through the opening to deliver the thoracic vis cera with the assistance of a sponge-holder or similar instrument. The diaphragm can then be cut through and the abdominal viscera likewise extracted. In most cases it will be found that the delivery cannot be completed until a decapitation has been done, but as the size of the trunk is diminished by the eviscera tion, the neck can as a rule be more readily reached with the sharp hook.

Hemorrhage after these operations, particularly if the mother has been subjected to a long labor with more or less tonicity of the uterus, is very common and a satisfactory and permanent uterine contraction should be provided for by guarding the fundus, expressing the placenta completely together with all clots and keeping the patient as quiet as possible. Ergot by mouth or hypodermic is advisable. All lacerations of the perineum and extensive ones the cervix must be immediately repaired. T chances for septic infection are increased by t necessary manipulations and this fact should known and guarded against.

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