Chapter V: Miscellaneous (3)

1. Brandy, champagne, sherry.
2. Eau-de-cologne.
3. Liquor ammoniæ.
4. Smelling salts.
5. Spirit of chloroform.
6. A fan.
7. A Rimmel’s perfume vaporiser.
8. Beef-tea.
9. Chicken-broth.
10. Milk.
11. Lime-water.
12. Soda-water.
13. Eggs.
14. French bread.
15. Biscuits.
16. Arrow-root.
17. Liebig’s extract of meat.

THE ARREST OF HÆMORRHAGE.

1. Artery forceps.

2. Torsion forceps.

3. Tourniquet.

4. Tenaculum.

5. Hare-lip pins.

6. Acupressure needles.

7. Nævus needle.

8. Wire nippers.

9. Solution of perchloride of iron (equal parts of the salt and
water).

10. Solid perchloride of iron.

11. Richardson’s styptic colloid.

12. Ice, ice-cold water.

13. Cautery irons.

14. Galvanic cautery wire.

15. Ligatures, silk, fine hemp, and whipcord.

16. Lint.

17. Amadou.

18. Bandages.

19. Compressed sponge.

20. Scissors.

(See List for the Ligature of Arteries.)

INSTRUMENTS AND APPLIANCES FOR OPERATIONS ABOUT THE HEAD AND NECK.

TREPHINING THE SKULL.
OPERATIONS ON THE EYE.
HARE-LIP.
RESECTION OF THE JAW.
EXCISION OF THE WHOLE TONGUE.
CLEFT PALATE.
EXCISION OF TONSILS.
LARYNGOTOMY.
TRACHEOTOMY.

TREPHINING THE SKULL.

1. Scalpel.

2. Trephines—several crowns.

3. Hey’s saw.

4. Elevator.

5. Stout dissecting forceps.

6. Brush to clean away the bone-dust.

7. Probe.

8. Quill, cut like a tooth-pick, to clear the groove of bone-dust.

9. Lenticular knife.

10. Small polypus forceps.

11. Sponges.

12. Lint.

13. Ice.

OPERATIONS ON THE EYE.

_Strabismus._

1. Chloroform, if used.

2. Laurence’s, or other head-fixer.

3. Specula of different sizes.

4. Toothed forceps.

5. Strabismus scissors and hooks.

6. Fine curved needles, and _finest_ thread.

7. Lint.

8. Ice, or cold water.

_Extirpation of the Eyeball._

1. Chloroform.

2. Head-fixer.

3. Speculum.

4. Toothed forceps.

5. Curved scissors.

6. Strabismus hook.

7. Small and large sponges.

8. Dissecting forceps.

9. Ice-cold water.

10. Perchloride of iron.

11. Fine curved needles, and _finest_ silk thread.

12. Lint.

13. Pulled lint.

14. Basin.

15. Bandage.

_Cataract_ (_Congenital_).

1. Atropine drops.
2. Chloroform.
3. Head-fixer.
4. Speculum.
5. Lacerating needles.
6. Toothed forceps, to fix eyeball.
7. Lint.
8. Cold water.
9. Gelatine plaster.

_Cataract_ (_Senile_).

1. Atropine drops.
2. Chloroform.
3. Head-fixer.
4. Speculum.
5. Lacerating needles.
6. Toothed forceps.
7. Cataract knives.
8. Scoop.
9. Platinum spatula, to adjust edges of wound.
10. Small sponges.
11. Basin and water.
12. Gelatine plaster.
13. Wool and bandage.
14. Lint.

_Iridectomy._

1. Chloroform, if used.
2. Head-fixer.
3. Specula.
4. Toothed forceps.
5. Right-angled knives.
6. Iris forceps.
7. Iris hooks.
8. Capsule scissors, if required.
9. Light curved scissors.
10. Lint.
11. Gelatine plaster.
12. Wool and bandage.
13. Atropine drops.
14. Small sponges and basin.
15. Hot and cold water.

HARE-LIP.

1. Scalpel.

2. Artery forceps, or sharp hook.

3. Hare-lip pins.

4. Wire nippers.

5. Dentist’s silk twist.

6. Strapping plaster.

7. Silver suture.

8. Collodion.

9. Scissors.

10. Cheek compressor.

11. Sponges.

12. Large towel to wrap the child in.

13. Chloroform and inhaler.

When the bone has also to be bent back—

14. Bone nippers.

15. Sequestrum forceps.

16. A knitting needle; and

17. Spirit lamp to check deep hæmorrhage by the actual cautery.

RESECTION OF THE JAW, AND TUMOURS CONNECTED WITH IT.

1. Scalpels.
2. Artery forceps.
3. Torsion forceps.
4. Ligatures.
5. Retractors.
6. Tooth forceps.
7. Narrow saw.
8. Hey’s saw.
9. Bone-cutting forceps.
10. Lion’s-tooth forceps.
11. Sequestrum forceps.
12. Gouges.
13. Chisel.
14. Gag.
15. Hare-lip pins.
16. Wire nippers.
17. Actual cautery.
18. Perchloride of iron.
19. Ice.
20. Sutures, silk and wire.
21. Solution of chloride of zinc.
22. Lint.
23. Bandages.
24. Plaster.
25. Collodion.
26. Mackintosh sheet.
27. Small sponges tied on sticks.
28. Larger sponges.
29. Chloroform and inhaler.

EXCISION ON THE WHOLE TONGUE.

1. Scalpel.
2. Torsion forceps.
3. Artery forceps.
4. Gag.
5. Archimedian bone-drill.
6. Cheek retractors.
7. Incisor tooth forceps.
8. Narrow saw.
9. Nævus needle, and
10. Half a yard of thick whipcord.
11. Stout copper wire.
12. Key for twisting the wire tight.
13. Wire cutters.
14. Stout acupressure needle.
15. Hare-lip pins.
16. Two ecraseurs.
17. Needle for passing the chain.
18. Sharp and blunt hooks.
19. Stout silk.
20. Metallic sutures.
21. Ligatures.
22. Ice.
23. Perchloride of iron.
24. Cautery iron.
25. Solution of chloride of zinc.
26. Collodion.
27. Small sponges mounted on sticks.
28. Brandy.
29. Chloroform and inhaler.
30. Lint.
31. Mackintosh sheet.

CLEFT PALATE.

1. Long-handled, narrow-bladed knife, for dividing the palatine
muscles.

2. Long-handled curved scissors.

3. Slender hooked forceps, to seize soft palate.

4. Long-handled small bistoury, for paring edges of fissure.

5. Long-handled needles, with the eye at the point for passing
sutures.

6. Fine blue silk, or catgut.

7. Blunt and sharp hooks.

8. Scissors.

9. Ice, ice-cold water.

10. Mackintosh sheet.

11. Sponges set on sticks.

12. Glass syringe for washing the mouth.

13. Smith’s gag.

14. Chloroform and inhaler.

EXCISION OF TONSILS.

1. Long vulsellum.

2. Tonsil guillotines; or, probe-pointed bistoury, the posterior
two-thirds of the blade covered with lint or plaster; or, tonsil
excisors of various kinds.

3. Ice, ice-cold water.

_To repress Hæmorrhage from the Tonsils._

1. A small lump of ice held in a long vulsellum against the tonsil.

2. Small sponge on the end of a stick, dipped in ice-cold solution
of perchloride of iron, or other styptic.

3. Long straight polypus or gullet forceps with padded ends, to
compress the tonsil; one blade being passed within the mouth, the
other outside against the neck.

LARYNGOTOMY IN THE CRICO-THYROID SPACE.

1. Scalpel.
2. Artery forceps and ligature silk.
3. Torsion forceps.
4. Silver tube, curved on the flat.
5. Tapes.
6. Sharp and blunt hooks.
7. Two hooked forceps.
8. Sponges.

TRACHEOTOMY.

1. Scalpel.

2. Dissecting forceps.

3. Blunt hooks for veins.

4. Sharp hook to draw forward trachea.

5. Double silver tube and tapes.

6. Torsion forceps.

7. Artery forceps.

8. Ligatures.

9. Trachea-dilator, to assist introduction of tube.

10. Sponges.

11. Brandy.

12. Ammonia.

13. If a foreign body is lodged in the larynx, forceps of various
kinds to extract with.

14. Strapping plaister.

15. Silver suture.

INSTRUMENTS, &c., FOR OPERATIONS ABOUT THE TRUNK.

REMOVAL OF THE BREAST OR TUMOURS.
NÆVUS.
TAPPING THE PLEURA.
TAPPING THE BELLY.
COLOTOMY.
OVARIOTOMY.
CÆSARIAN SECTION.
STRANGULATED HERNIA.
RADICAL CURE OF HERNIA.
HÆMORRHOIDS.
FISTULA IN ANO.
CLEFT PERINÆUM.
EXTIRPATION OF THE CERVIX UTERI.
AMPUTATION OF THE PENIS.
CIRCUMCISION.
EXCISION OF TESTIS.
TAPPING A HYDROCELE.
VESICO-VAGINAL FISTULA.
RETENTION OF URINE.
EXTERNAL URETHROTOMY.
LITHOTOMY.
LITHOTRITY.
REMOVING FOREIGN BODIES FROM THE URETHRA AND BLADDER.

REMOVAL OF THE BREAST OR TUMOURS.

1. Scalpel.
2. Artery forceps.
3. Torsion forceps.
4. Dissecting forceps.
5. Double hook.
6. Blunt hooks.
7. Tenaculum.
8. Fine ligatures.
9. Half-yard of stout whipcord, for irremovable glands.
10. Wire or silk sutures.
11. Lint.
12. Diachylon plaster.
13. Sponges.
14. Scissors.
15. Three-inch wide rollers.
16. Folded towel compress.
17. Chloroform and inhaler.
18. Waterproof sheet.

NÆVUS.

_For Ligature._

1. Nævus needles, straight and curved.
2. Suture silk, stout compressed whipcord.
3. Scalpel.
4. Scissors.
5. Lint.
6. Chloroform and inhaler.
7. Sponge and water.

_For Cauterising._

1. Acupressure needles.
2. Spirit lamp.
3. Galvanic cautery.
4. Gas cautery.

_For Excising._

1. Scalpel.
2. Dissecting forceps.
3. Blunt hooks.
4. Artery forceps.
5. Sharp hooks.
6. Ligature.
7. Lint.
8. Bandage.
9. Sponge.
10. Sutures.

_For Injecting._

1. Subcutaneous injecting syringe.
2. Solution of perchloride of iron.

_For Passing Setons._

1. Small fine suture needles.
2. Fine silk suture.

TAPPING THE PLEURA.

1. Small scalpel.
2. Trocar, fitted with india-rubber tube.
3. Bucket.
4. Lint.
5. Collodion.
6. Strapping.
7. Scissors.
8. Brandy.

TAPPING THE BELLY.

1. Body bandage (see p. 10).
2. Scalpel.
3. Trocar.
4. Suture.
5. Collodion.
6. Scissors.
7. Lint.
8. Bucket.
9. Diachylon plaster.
10. Brandy.

AMUSSAT’S OPERATION OF COLOTOMY AND GASTROTOMY.

1. Scalpel.
2. Probe-pointed bistoury.
3. Director.
4. Dissecting forceps.
5. Nævus needle, threaded with thick whipcord.
6. Silver sutures.
7. Artery forceps.
8. Fine ligatures.
9. Retractors.
10. Sponges.
11. Large trocar.
12. Tow.
13. Sponges.
14. Large syringe full of warm water.
15. Chloroform and inhaler.

OVARIOTOMY.

1. Room raised to temperature of 70° F.
2. Scalpel.
3. Clamp.
4. Vulcanised india-rubber tubing, to fix on cannula.
5. Torsion forceps.
6. Artery forceps and ligatures.
7. Fine ligatures.
8. Broad retractors.
9. Blunt hooks.
10. Ovariotomy trocar.
11. Nævus needles, threaded.
12. Hare-lip pins.
13. Wire nippers.
14. Strong whipcord.
15. Silk sutures and silver wire.
16. Diachylon plaster.
17. Catheter for emptying the bladder.
18. Soft napkins.
19. Bandage or laced napkin.
20. Chloroform and inhaler.
21. Cautery iron.
22. Silver pins.
23. Sponges.

CÆSARIAN SECTION.

1. Room maintained at temperature of 70° F.

2. Catheter to empty bladder.

3. Large scalpel.

4. Straight probe-pointed bistoury.

5. Director.

6. Large blunt hooks.

7. Large syringe and vaginal tube, for washing out uterus per
vaginam.

8. Artery forceps.

9. Ligatures, fine and stout whipcord.

10. Torsion forceps.

11. Hare-lip pins, stout and long.

12. Suture silk.

13. Fine sutures.

14. Folded linen compress.

15. Broad body roller.

16. Flannel.

17. Cotton wool.

18. Warm flannels.

19. Chloroform and inhaler.

STRANGULATED HERNIA.

1. Scalpel.
2. Straight bistoury.
3. Probe-pointed bistoury.
4. Hernia knife.
5. Narrow director.
6. Broad director.
7. Dissecting forceps.
8. Blunt hooks.
9. Fine hook, in case the sac is very tense.
10. Artery forceps.
11. Torsion forceps.
12. Ligatures.
13. Sutures.
14. Lint.
15. Diachylon plaster.
16. Three-inch wide roller.
17. Compress.
18. Razor.
19. Sponges.
20. Half grain of morphia suppository.
21. Chloroform and inhaler.
22. Scissors.

WOOD’S OPERATION FOR RADICAL CURE OF HERNIA.

1. Razor, or scalpel, for shaving the groin.
2. Tenotomy knife.
3. Needle.
4. Compressed whipcord, well waxed and soaped.
5. Glass or box-wood compress.
6. Two pads of lint.
7. Lint.
8. Bandage.
9. Scissors.
10. Suture.
11. Collodion.

HÆMORRHOIDS.

_External,—Excision of._

1. Vulsellum, or hook, or ringed forceps.
2. Knife-edged scissors curved on the flat.
3. Torsion forceps.
4. Lint and T-bandage.
5. Smith’s clamp.
6. Cautery iron.

_Internal._

1. Enema of warm water.

2. Hook, vulsellum, or ring-forceps.

3. Thin compressed whipcord.

4. Nævus needles threaded, to transfix the base of the pile.

5. Scissors.

6. Smith’s clamp.

7. Ice.

8. Solid perchloride of iron.

9. Lint and cotton wool.

10. Opium suppository.

PROLAPSUS ANI.

The same.

FISTULA IN ANO.

1. Probes of various sizes, some grooved.
2. Grooved director.
3. Probe-pointed curved bistoury.
4. Straight sharp-pointed bistoury.
5. Tenaculum.
6. Threaded curved needle set in a handle.
7. Torsion forceps.
8. Artery forceps.
9. Stout ligature.
10. Cautery iron.
11. Lint, cotton wool.
12. Sponges.
13. Compress.
14. Three-inch wide roller.
15. Oil.
16. Chloroform and inhaler.

CLEFT PERINÆUM.

1. Scalpel.
2. Hook forceps.
3. Curved nævus needles, threaded.
4. Stout whipcord.
5. Suture silk.
6. Wire suture.
7. Glass rods, or No. 12 bougies.
8. Collodion.
9. Lint.
10. Sponges on handles.
11. Oil.
12. Chloroform and inhaler.

EXTIRPATION OF THE CERVIX UTERI.

1. Two hooked forceps, or long vulsella.
2. Specula (bivalve and duckbill).
3. Ecraseur.
4. Two wool holders.
5. Small sponges on sticks.
6. Scalpel.
7. Straight probe-pointed bistoury.
8. Bistoury curved on the flat.
9. Long-handled straight scissors.
10. Long-handled curved scissors.
11. Artery forceps.
12. Ligatures.
13. Hare-lip pins.
14. Dentists’ silk.
15. Cautery irons.
16. Perchloride of iron.
17. Solution of chloride of zinc.
18. Ice.
19. Lint (if plugging necessary, see pp. 127, 128).
20. Compressed sponge in pieces.
21. Soft silk handkerchief.
22. Cotton wool.
23. Suppository.

AMPUTATION OF THE PENIS.

1. Tape to tie round the root of penis.
2. Straight bistoury.
3. Scalpel.
4. Artery forceps.
5. Torsion forceps.
6. Dissecting forceps.
7. Scissors.
8. Fine ligatures.
9. Fine suture, to fix the flap of mucous membrane of the urethra.
10. Flexible catheter.
11. Lint.
12. Tape.
13. Ice.
14. Chloroform and inhaler.

CIRCUMCISION.

1. Small straight bistoury.
2. Polypus forceps.
3. Half-inch wide tape.
4. Artery forceps.
5. Fine ligatures.
6. Silk suture.
7. Torsion forceps.
8. Scissors.
9. Lint.
10. Ice.
11. Chloroform and inhaler.

EXCISION OF TESTIS.

1. Scalpel.
2. Large sharp hook.
3. Blunt hooks.
4. Stout whipcord.
5. Fine ligature.
6. Artery forceps.
7. Sutures, silk or wire.
8. Scissors.
9. Chloroform and inhaler.
10. Lint.

TAPPING AND INJECTING A HYDROCELE.

1. Trocar.
2. Vulcanite syringe, with nozzle to fit cannula.
3. Tincture of iodine.
4. Suspender for the testicles.
5. Lint.
6. Collodion.
7. Plaister.

VESICO-VAGINAL FISTULA.

1. Duckbill speculum.
2. Scalpels set in long handles, curved blades.
3. Long-handled curved scissors.
4. Long-handled forceps.
5. Long-handled hooked forceps.
6. Long-handled sharp hook.
7. Narrow curved spatula.
8. Needles to carry silver wire suture.
9. Silver wire.
10. Probes.
11. Short curved needles, to carry fine silk suture.
12. Needle holder.
13. Suture tightener.
14. Lead clamp.
15. Awl for perforating the clamp.
16. Clamp adjuster.
17. Split shot.
18. Forceps for placing and pinching the shot.
19. Small sponges set on slips of wood.
20. Large sponges.
21. Sims’ catheter.
22. Ice-cold water.
23. Syringe and flexible catheter for injecting the bladder,
to test the perfect closure of the fissure.
24. Chloroform and inhaler.
25. Oil.

RETENTION OF URINE.

1. Flexible catheters (Nos. 8 to ½) (English and French).
2. Finest gum bougies (No. ¼).
3. Silver catheters.
4. Long prostatic catheter.
5. Oil.
6. Glass syringe.
7. Injecting bottle.
8. Tapes and string.
9. Strapping plaister.
10. Scissors.
11. Trocar for tapping per rectum.
12. Tincture of opium.
13. Morphia suppository.
14. Chloroform and inhaler.

EXTERNAL URETHROTOMY.

1. Scalpels.
2. Catheters, silver.
3. Catheters, flexible.
4. Four feet of india-rubber tubing to fit catheter.
5. Probes, straight and grooved, with flat handles.
6. Syme’s shouldered narrow grooved staff.
7. Marshall’s long jointed grooved sound, with flexible catheter
sliding on it.
8. Curved director.
9. Lithotomy tapes or anklets.
10. Tapes.
11. Sponges.
12. Tenaculum.
13. Artery forceps.
14. Ligatures.
15. Oil.
16. Ice.
17. Chloroform and inhaler.

LITHOTOMY.

1. Firm table, of convenient height.
2. Folded blankets.
3. Mackintosh sheet.
4. Tray of sand, or saw-dust.
5. Pair of lithotomy tapes, or anklets.
6. Lint.
7. Sound.
8. Staff.
9. Catheter to fit syringe, for injecting the bladder.
10. Lithotomy scalpels.
11. Forceps.
12. Scoops.
13. Searcher.
14. Bistouri caché.
15. Syringe, various nozzles.
16. Gorget.
17. Tubes, with and without petticoats.
18. Lithotrite.
19. Catheter to fit syringe.
20. Artery forceps.
21. Tenaculum.
22. Ligatures.
23. Half grain morphia suppository.
24. Chloroform and inhaler.
25. Oil.
26. Sponges.
27. Bandages and tape.
28. Brandy, ammonia.

LITHOTRITY.

1. Lithotrites, fenestrated and flat.
2. Hollow sound, with short beak.
3. Clover’s apparatus for washing out the bladder.
4. Oil.
5. Lithotrite catheters.
6. Urethral forceps.
7. Injecting bottle, with nozzle to fit the hollow sound.
8. Half grain morphia suppository.
9. Hot linseed poultice.
10. Firm bolster or pillow.

REMOVING FOREIGN BODIES FROM THE URETHRA AND BLADDER.

1. Catheters, silver, gum, elastic.
2. Sounds of different curves.
3. Bougies olivaires.
4. Urethral forceps with long blades.
5. Fine dressing forceps.
6. Fine polypus forceps.
7. Coxeter’s urethral forceps.
8. Urethral lithotrite forceps.
9. Hunter’s tube forceps.
10. Loop of wire set in long handle.
11. Leroy d’Etiolles’ jointed scoop.
12. Leroy’s tube, and sliding hook.
13. Charrière’s hair-pin retractor.
14. Charrière’s bougie retractor.
15. Three-branched forceps.
16. Endoscope.
17. Oil.
18. Glass syringe.
19. Scalpel.
20. Dissecting forceps.
21. Hook.
22. Artery forceps.
23. Ligature.
24. Sutures.
25. Tapes.
26. Sponges.
27. Chloroform and inhaler.

INSTRUMENTS FOR OPERATIONS ON THE LIMBS.

LIGATURE OF THE LARGER ARTERIES.

RESECTIONS, OF THE HEAD OF THE HUMERUS, ELBOW, HIP, AND KNEE.

REMOVAL OF NECROSED BONE.

AMPUTATIONS AT THE SHOULDER-JOINT, JOINT, ARM, FOREARM AND WRIST;
METACARPUS, HIP, THIGH AND LEG; BY SYME’S AND CHOPART’S OPERATIONS;
METATARSUS.

LIGATURE OF THE LARGE ARTERIES.

1. Scalpel.
2. Grooved director.
3. Dissecting forceps.
4. Broad grooved director.
5. Probe.
6. Blunt hooks.
7. Metallic retractors.
8. Aneurism needle.
9. Ditto, helix curve.
10. Waxed compressed whipcord.
11. Artery forceps.
12. Fine ligatures.
13. Sutures.
14. Scissors.
15. Sponges on sticks.
16. Larger sponges.
17. Strapping.
18. Lint.
19. Bandage.
20. Chloroform and inhaler.

RESECTION OF THE SHOULDER.

1. Scalpels.
2. Saw (Irish bow-saw).
3. Retractors.
4. Lion’s-tooth forceps.
5. Blunt hooks.
6. Artery forceps.
7. Torsion forceps.
8. Tenacula.
9. Acupressure needles.
10. Linen retractors.
11. Ligatures.
12. Sutures.
13. Key to compress the subclavian artery.
14. Cautery iron.
15. Wire nippers.
16. Lint.
17. Bandages.
18. Strapping.
19. Oiled silk.
20. Sponges.
21. Mackintosh sheet.
22. Chloroform and inhaler.

RESECTION OF THE ELBOW.

1. Straight bistoury.
2. Retractors.
3. Blunt hooks.
4. Bow-saw.
5. Probes.
6. Gouges.
7. Torsion forceps.
8. Artery forceps.
9. Lion’s-tooth forceps.
10. Bone forceps.
11. Ligatures.
12. Sutures.
13. Lint.
14. Oiled silk.
15. Bandages.
16. Strapping.
17. Sponges.
18. Mackintosh sheet.
19. Angular splint to support the arm.
20. Chloroform and inhaler.

RESECTION OF THE UPPER END OF THE FEMUR.

1. Strong bistoury.
2. Probe-pointed bistoury.
3. Long probes.
4. Bow-saw.
5. Retractor.
6. Blunt hooks.
7. Narrow linen retractor.
8. Gouges and chisels.
9. Bone forceps.
10. Artery forceps.
11. Torsion forceps.
12. Tenaculum.
13. Ligatures.
14. Sutures.
15. Bandages.
16. Lint.
17. Sponges.
18. Straight bracketed long splint and pads.
19. Chloroform and inhaler.
20. Mackintosh sheet.

RESECTION OF THE KNEE.

1. Straight bistoury.
2. Scalpels.
3. Metallic retractors.
4. Bow-saw.
5. Gouge.
6. Chisel.
7. Artery forceps.
8. Torsion forceps.
9. Acupressure needle.
10. Tenaculum.
11. Ligatures.
12. Sutures.
13. Tourniquet.
14. Sponges.
15. Lint.
16. Bandages.
17. Oiled silk.
18. McIntyre’s splint and pads.
19. Chloroform and inhaler.
20. Mackintosh sheet.

REMOVING NECROSED BONE.

1. Scalpels.
2. Straight and curved bistouries, with sharp and probe points.
3. Long and short probes.
4. Directors.
5. Retractors.
6. Gouges.
7. Chisels.
8. Bone forceps (various).
9. Gouge forceps.
10. Sequestrum forceps.
11. Lion’s-tooth forceps.
12. Osteotrites.
13. Artery forceps.
14. Tenaculum.
15. Torsion forceps.
16. Acupressure needles.
17. Ligatures.
18. Sutures.
19. Lint.
20. Bandages.
21. Oiled silk.
22. Mackintosh sheet.
23. Chloroform and inhaler.

AMPUTATION AT THE SHOULDER JOINT.

1. Tourniquet.
2. Long amputating knife.
3. Artery forceps.
4. Fine ligatures, stout ligatures.
5. Tenaculum.
6. Acupressure needles.
7. Needle nippers.
8. Key to compress subclavian artery.
9. Sutures.
10. Strapping cut into strips.
11. Bandages.
12. Lint.
13. Oiled silk.
14. Sponges.
15. Cautery irons.
16. Ice.
17. Mackintosh sheet.
18. Chloroform and inhaler.

AMPUTATION OF THE ARM.

1. Tourniquet.
2. Amputating knife.
3. Saw.
4. Artery forceps.
5. Torsion forceps.
6. Ligatures.
7. Sutures.
8. Tenaculum.
9. Acupressure needles.
10. Wire nippers.
11. Strapping.
12. Lint.
13. Bandages.
14. Wadding.
15. Straight splints.
16. Sponges.
17. Mackintosh sheet.
18. Chloroform and inhaler.

If a circular amputation—

19. Split linen retractor; and
20. Round-pointed straight-edged knife.

AMPUTATION OF THE FOREARM AND WRIST.

1. Tourniquet.
2. Large bistoury, or small amputating knife.
3. Torsion forceps, artery forceps, and ligature thread.
4. Artery forceps.
5. Saw.
6. Acupressure needles.
7. Needle nippers.
8. Tenaculum.
9. Fine ligatures.
10. Sutures.
11. Lint.
12. Wool.
13. Splints.
14. Bandages.
15. Oiled silk.
16. Sponges.
17. Mackintosh sheet.
18. Chloroform and inhaler.

AMPUTATION OF METACARPAL BONES AND PHALANGES.

1. Narrow-bladed bistoury.
2. Bone forceps.
3. Torsion forceps.
4. Artery forceps.
5. Fine ligatures.
6. Small suture.
7. Strapping.
8. Narrow bandage.
9. Wadding.
10. Splint to support the arm and hand.
11. Bandage.
12. Lint.
13. Oiled silk.
14. Mackintosh sheet.
15. Sponges.
16. Tourniquet.
17. Chloroform and inhaler.

AMPUTATION AT THE HIP JOINT.

1. Lister’s aorta compressor.
2. Long hip knife.
3. Artery forceps.
4. Stout and fine ligatures.
5. Torsion forceps.
6. Tenaculum.
7. Acupressure needles.
8. Needle nippers.
9. Silk and silver sutures.
10. Lint.
11. Strapping plaister.
12. Sponges.
13. Bandages.
14. Ice.
15. A bone-holder, or lion’s-tooth forceps, if the fragment
of the bone is too short to grasp in the hand.
16. Chloroform and inhaler.
17. Mackintosh sheet.

(See also the List for the Operating Room).

AMPUTATION OF THE THIGH AND LEG.

1. Tourniquet.
2. Amputating knife.
3. Scalpel.
4. Bone forceps.
5. Saw.
6. Torsion forceps.
7. Artery forceps.
8. Stout and fine ligatures.
9. Sutures.
10. Tenaculum.
11. Strapping.
12. Hare-lip pins.
13. Wire nippers.
14. Lint.
15. Bandages.
16. Oiled silk.
17. Cautery iron.
18. Ice.
19. Sponges.
20. Mackintosh sheet.

In a circular amputation—

21. A round-pointed knife, and a linen retractor split into two
tongues for the thigh and three for the leg, the centre one being
well waxed.

AMPUTATION AT THE ANKLE AND FOOT.

(_Syme’s and Chopart’s Operations._)

1. Tourniquet.
2. Strong bistoury.
3. Strong scalpel (Syme’s).
4. Saw.
5. Bone forceps.
6. Artery forceps.
7. Torsion forceps.
8. Tenaculum.
9. Acupressure needles.
10. Wire nippers.
11. Strapping.
12. Sutures.
13. Lint.
14. Bandages.
15. Oiled silk.
16. Wool.
17. Sponges.
18. Chloroform and inhaler.
19. Mackintosh sheet.

AMPUTATION OF THE METATARSAL BONES AND TOES.

1. Tourniquet.
2. Straight bistoury.
3. Tenaculum.
4. Torsion forceps.
5. Acupressure needles.
6. Needle nippers.
7. Artery forceps.
8. Ligatures.
9. Sutures.
10. Lion’s-tooth, or sequestrum forceps.
11. Strapping.
12. Lint and wool.
13. Bandages.
14. Narrow saw.
15. Bone forceps.
16. Mackintosh sheet.
17. Chloroform and inhaler.

INDEX.

A.

Abdominal support, 165.

—— tourniquet, 149.

Acromion, fracture of, 56.

Administering chloroform, 179.

Air-bath, the hot, 154.

Amputations, 213.

—— ankle, 215.

—— arm, 213.

—— forearm, 214.

—— hip, 214.

—— leg, 215.

—— metacarpal bones, 214.

—— metatarsal bones, 215.

—— penis, 208.

—— phalanges, 214.

—— shoulder, 213.

—— thigh, 215.

Angular splint, 48.

—— union, 76.

Ankle, strapping the, 27.

Apparatus for dislocation at the hip, 104.

Arch, palmar, wound of, 17.

Arm, bandage for, 16.

Arrest of hæmorrhage, 197.

Artificial respiration, 183.

Ascites, bandage for, 10.

B.

Bandages, 1.

—— arm, 16.

—— belly, 10.

—— bleeding jugular vein, 7.

—— breast, 8.

—— elbow, 16.

—— fingers, 14.

—— foot, 21.

—— groin, 9.

—— hand, 15.

—— head, 3.

—— heel, 21.

—— hernia, 10.

—— knee, 22.

—— leg, 21.

—— many-tail, 23.

—— plaster of paris, 85.

—— scultetus, 23.

—— shoulder, 16, 55.

—— spica, 9, 10, 14, 16, 55.

—— starch, 80.

—— stump, 22.

—— thumb, 14.

—— toe, 21.

Band-box cradle, 81.

Bath, the hot air, 154.

—— the vapour, 155.

Bed, the floating, 141.

—— the sick, 196.

Bedsores, 140.

—— ring of felt for, 140.

—— Brown Sequard’s treatment, 140.

Belloc’s sound, 121.

Belly, bandage for, 10.

—— tapping the, 204.

Bicuspid tooth, drawing a, 124.

Bladder, ice, 7.

—— washing out the, 137.

Blanket pad for axilla, 53.

Bleeding, cupping, 158.

—— at elbow, 18.

—— jugular vein, 7.

—— leech bites, 160.

—— palmar arch, 17.

—— socket of tooth, 126.

—— staff, 19.

—— tape, 19.

Blisters, 170.

Block for McIntyre’s splint, 65.

Blood, transfusion of, 144.

Both bones of forearm, fracture of, 43.

Bougies, 130.

—— filiformes, 134.

—— olive-headed, 130.

Bread poultice, 171.

Breast, bandaging the, 8.

—— removing the, 203.

—— strapping the, 25.

Broken rib, 36.

—— finger, 39.

Bruce’s cautery, 166.

Bulbous ended catheter, 130, 135.

C.

Cæsarian section, 205.

Calcaneum, separation of the epiphysis of, 60.

Calomel fumigation, 153.

Cambric rollers, 1.

Canine tooth, drawing a, 123.

Cantharides, 170.

Cap for shoulder, 54.

Capelline bandage, 5.

Carbolic acid dressing, 172.

Carriage, the sick, 155.

Carte’s tourniquet, 149.

Cash’s bandages, 1.

Casting in plaster of paris, 114.

Cataract, 199.

Catheters, 129.

—— flexible, 129.

—— passing, 132.

—— —— in the female, 136.

—— silver, 129.

—— tying in, 138.

—— vulcanised india-rubber, 130, 136.

Caustics, 168.

Cauteries, 166.

Cautery irons, 166.

—— Clover’s, 168.

—— galvanic, 168.

—— gas, 166.

Cervix uteri, extirpation of, 207.

Chalk and gum, 89.

Chassaignac’s drainage tubes, 161.

Chloride of zinc, 169.

Chloroform, 179.

—— in dislocations, 95.

—— to the uterus, 187.

—— dangers of, 180.

Chromic acid, 169.

Circumcision, 208.

Clavicle, dislocation of, 96.

—— fracture of the, 56.

Cleft palate, 201.

—— perinæum, 207.

Clove hitch, the, 99.

Clover’s cautery, 168.

—— inhaler, 181.

Club foot, 113.

Cold injection, 118.

Collar bone, fracture of, 56.

—— ring pad for, 59.

—— figure of 8 for, 59.

—— dislocation of, 96.

Colles’ fracture, 39.

Collodion, 189.

Colotomy, 205.

Common rollers with plaster of paris, 88.

Compound fracture, openings in splints for, 87.

Compress, graduated, 17.

—— for bleeding jugular vein, 7.

Conformation of urethra, 132.

Continuous extension, 78, 80.

Corrigan’s hammer, 169.

Counter extension, 95.

Coxeter’s elastic perineal band, 75.

Cradles, 90.

—— Salter’s, 64.

—— of band box, 90.

Cupping, bleeding, 158.

—— dry, 156.

Cushions, water, 142.

D.

Delirious patients, manacles for, 12.

Diathesis, the hæmorrhagic, 126.

Difficulties in passing catheters, 133.

Disjunction of articular surfaces, 47.

Dislocations, 95.

—— clavicle, 96.

—— elbow, 101.

—— —— distinction from fracture, 47.

—— fingers, 103.

—— foot, 110.

—— hip, 104.

—— —— reduction by manipulation, 107.

—— knee, 109.

—— lower jaw, 95.

—— patella, 110.

—— shoulder, 97.

—— thumb, 103.

Domett’s flannel roller, 112.

Double inclines, 77.

—— slung, 78.

Drainage tubes, 161.

Drawing teeth, 122.

Drops for eye, 117.

Dry cupping, 156.

—— heat, 172.

Drying starch bandages, 84.

Dupuytren’s splint, 61.

E.

Ears, syringing the, 117.

Eight, figure of, 3.

Eighteen-tail bandage, 23.

Elastic extension, 75.

—— perineal band, 75.

—— socks, 24.

—— stirrup, 75.

Elbow, bandaging the, 16.

—— dislocation at, 101.

—— fracture near, 47.

—— resecting the, 212.

Elevator, 125.

Emplastrum lyttæ, 170.

Epiphysis of Os Calcis, separation of the, 60.

Epispastique, pâte, 170.

Epistaxis, 118.

Equinus, talipes, 113.

Esmarch’s irrigator, 179.

Essentials of a truss, 162.

Ether spray, 186.

Extension in fractures, 75, 76, 78.

—— in hip disease, 80.

—— simple, in dislocations, 99.

—— in the long splint, 75.

—— by weight and pully, 79.

External splint for broken jaw, 32.

Eye douche, 116.

—— drops, 117.

—— operations on the, 198.

F.

Feeding by the stomach pump, 144.

Female, passing a catheter in the, 136.

Femur, fracture of, 72.

—— resecting the, 212.

Fibula, fracture of, 60.

Figure of 8 turn, 3.

—— bandage, 59.

Fingers, bandaging, 14.

—— dislocation of, 103.

—— splint for, 39.

Fistula in ano, 207.

Flannel rollers, 1.

—— —— for plaster of paris, 86.

Flexible catheters, 130.

Floating bed, 141.

Fomentations, 172.

Foot, bandaging the, 21.

—— dislocation of the, 110.

Forceps, tooth, 122.

—— —— bicuspid, 123, 124.

—— —— incisor, 123.

—— —— molar, 124.

Forearm, bandaging the, 15.

—— dislocation of, 101.

—— fracture of, 43.

Four-tail bandage, 6.

Fractures, 30.

—— acromion, 56.

—— at ankle, 61.

—— clavicle, 56.

—— Colles’, 39.

—— elbow, 47.

—— femur, shaft of, 72.

—— fibula, 60.

—— forearm, 43.

—— humerus, neck of, 53.

—— —— shaft of, 51.

—— —— lower end of, 47.

—— —— great tuberosity of, 56.

—— jaw, 30.

—— metacarpal bones, 37.

—— olecranon, 45.

—— os calcis, 60.

—— patella, 67.

—— pelvis, 37.

—— phalanges, 39.

—— radius, 39, 44.

—— rib, 36.

—— tibia, 61.

—— transverse ditto, 66.

—— ulna, 43.

French bulbous ended catheters, 130.

Fumigation, 151.

—— general, 152.

—— local, 154.

G.

Gag, for stomach-pump, 143.

Galvanic cautery, 168.

Gas cautery, 166.

Gauntlet for fractured radius, 42.

Gauze, wire, 48.

General rules, 1.

Glove for metacarpal bones, 38.

Glue, 89.

Graduated compress, 17.

Groin, spica for, 9.

Gum and chalk, 89.

Gums, leeches to, 159.

Gutta-percha, 30, 38, 42, 49, 54, 70, 77, 94.

H.

Hæmorrhage, arrest of, 197.

—— from the tonsils, 201.

Hæmorrhagic diathesis, 126.

Hæmorrhoids, 206.

Hair suture, 116.

Hammer, Corrigan’s, 169.

Hand, bandaging the, 14.

Handle for extending the thumb, 103.

Hare-lip, 199.

Head bandage, 3.

—— ice bladder for, 7.

Heat, dry, 172.

Heel, to bandage the, 21.

Hernia, 162.

—— spica, 9.

—— trusses for, 161.

Hewitt’s transfusion apparatus, 145.

Hides’ leather felt, 89.

Hip-disease, extension in, 79.

—— dislocation, 104.

—— splint, 92.

Hitch, the clove, 99.

Hooks, Malgaigne’s, 71.

Horizontal position in fractured clavicle, 57.

Horse heel, 113.

Horseshoe tourniquet, 148.

Hot air bath, 154.

—— fomentations, 172.

—— water cushions, 172.

How to hold a roller, 2.

Humerus, fractures at lower end of, 47.

—— great tuberosity, 56.

—— neck of, 53.

—— shaft of, 51.

Hydrocele, tapping a, 208.

I.

Ice bladders on head, 7.

—— cold injections, 118.

Improvised tourniquet, 151.

Incisor tooth, to draw, 123.

Incline, double, 77.

—— —— slung, 78.

Injecting bottle, 137.

—— syringe, 117.

—— chloroform to the uterus, 187.

—— the urethra, 128.

Injection, subcutaneous, 187.

Interdental splints, 33.

Intracapsular fracture of neck of femur, 77.

Iodine blisters, 170.

Iridectomy, 199.

Irons, cautery, 166.

Irreducible hernia, 163.

Irrigation, 177.

Irrigator, Esmarch’s, 179.

Irritants, 168.

Issues, 161.

—— pea, 161.

J.

Jacket, strait, 11.

Jaw, fracture of, 30.

—— resection of, 200.

Joints, strapping, 27.

—— to be included in starch and plaster of paris, 81, 87.

Jugular vein, bandage for, 7.

K.

Kite’s tail plug, 128.

Knee, bandage for, 22.

—— resecting the, 212.

Knee-pan, fracture of, 67.

Knotted bandage, 4.

L.

L-shaped splint for arm, 49.

Lamp for air bath, 154.

Laryngotomy, 201.

Lateral splints for the tibia, 66.

Lavallée’s (Morel) splints, 33.

Leather felt, Hides’, 89.

—— splints, 90.

—— —— for hip, 92.

Leeches, 159.

—— to make them bite, 159.

—— to stop the bites, 160.

—— in the mouth, 159.

—— at the cervix uteri, 159.

Leg, bandage for, 21.

Ligature of arteries, 211.

Linseed poultice, 171.

Lister’s dressing, 172.

—— tourniquet, 149.

Liston’s long splint, 72.

Lithotomy, 210.

—— position, 140.

Lithotrity, 210.

Local anæsthesia, 186.

Long splint, 72.

Lower jaw, fracture of, 30.

M.

McIntyre’s splint, 63.

Makeshift tourniquet, 151.

Malgaigne’s hooks, 71.

Manacles for delirious patients, 12.

Manipulation in dislocations, 107.

Many-tail bandage, 23.

Marshall Hall’s method, 183.

Materials for rollers, 1.

Mayor’s double incline, 78.

Mercurial fumigation, 152.

—— ointment, 28.

Metacarpal bones, fracture of, 37.

Millboard for splints, 80.

Mixing plaster, 115.

Molar forceps, 124.

—— teeth, 124.

Morel Lavallée’s splints, 33.

Muslin rollers for plaster of paris, 85.

Mustard poultices, 169.

N.

Nævus, operating on, 203.

Nares, plugging the, 119.

Neck of humerus, fracture of, 53.

Necrosed bone, removing, 213.

Nipple shields, 126.

—— artificial, 126.

Nitrate of silver, 168.

—— of mercury, 169.

Nitric acid, fuming, 169.

O.

Olecranon, fracture of, 45.

—— —— Hamilton’s splint for, 47.

Operating room, the, 195.

Operator’s position, 2.

Ordinary bandages, 1.

Os uteri, leeches to, 159.

Outside splint for fractured jaw, 32.

Ovariotomy, 205.

—— cautery, 167.

P.

Palmar arch, wound of, 17.

Paraffine, 89.

Paris, bandages of plaster of, 85.

—— plaster of, casting in, 114.

—— —— splints of, 88.

Passing catheters, 132.

—— —— difficulties, 133.

Pasteboard splints, 80.

Pâte epispastique, 170.

Patella, dislocation of the, 110.

—— fracture of the, 67.

—— —— Samborne’s plan, 70.

—— back splint for, 69.

Pelvis, fracture of the, 37.

Penis, amputation of, 208.

Perineal band, 73.

Petit’s tourniquet, 147.

Phalanges, broken, 39.

Pistol splint, 40.

Pleura, tapping the, 204.

Plugging nares, 119.

—— vagina, 127.

Points for vaccine, 190.

Poisons, stomach pump in, 143.

Position of bandager, 1.

—— for lithotomy, 140.

Potassa fusa, 169.

Poultice, 170.

—— bread, 171.

—— linseed, 171.

—— mustard, 169.

—— starch, 172.

Prolapsus ani, 207.

Pubes, dislocation on, 108.

Pulley, extension by weight, 80.

Pulleys, for dislocation, 104.

Pulverised fluids, 186.

Pump, the stomach, 143.

R.

Radius, fracture of, 39.

—— near the head, 44.

—— dislocation of, 102.

Removing a starch bandage, 84.

—— a plaster of paris bandage, 88.

—— foreign bodies from urethra, 210.

Respiration, artificial, 183.

Restoratives, 197.

Reverse turn, 2.

Rib, broken, 36.

—— roller for, 37.

—— strapping, 36.

Richardson’s spray producer, 186.

Ring pad, 59.

—— tourniquet, 147.

Rollers, how to hold, 2.

—— varieties of, 1.

—— muslin, for plaster of paris, 85.

Rules, general, 1.

Ruptured tendo achillis, 59.

Ruptures, 162.

—— operation for, 206.

S.

Salter’s cradle, 64.

Sand bags, 90.

Scarificator, 157.

Scarpa’s shoes, 111.

Scott’s bandage, 28.

Scultetus, bandage of, 23.

Sedatives, 197.

Separation of epiphysis of the os calcis, 60.

—— of lower end of humerus, 47.

Setons, 160.

Shaft of humerus, 51.

Shawl cap, 6.

Shoes, Scarpa’s, 111.

Shot-bag weight, 80.

Shoulder, bandage for, 16, 55.

—— cap, 54.

—— dislocation at, 97.

—— dislocation at, simple extension in, 100.

—— fracture of, 53-56.

—— resecting the, 211.

Sick carriage, 155.

—— room and bed, 196.

Signoroni’s tourniquet, 148.

Silicate of soda, 89.

Silver catheters, 129, 132.

—— —— tying in, 138.

—— nitrate of, 168.

Silvester’s method, 184.

Skull, trephining the, 198.

Sling for fracture, 52, 64.

Slinging a starch bandage, 85.

Slung double incline, 78.

Sock, elastic, 24.

Socket, a bleeding, 126.

Sore nipples, 126.

Sores, bed, 140.

Sounds, 130.

Sound, Belloc’s, 121.

Spica for groin, 9.

—— for hernia, 10.

—— shoulder, 16, 55.

—— for thumb, 14.

Spiral turn, 2.

Splay foot, 114.

Splint, the long, 72.

—— the hip, 92.

Spray producer, 186.

Starch bandage, 80.

—— —— after long splint, 76.

—— —— splints for, 82.

—— —— time of applying, 81.

—— poultice, 172.

—— rollers, 82.

Stirrup extension, 76.

Stockings, elastic, 24.

Stocking-webbing rollers, 1.

Stomach pump, the, 142.

Strait jacket, 11.

Strangulated hernia, 206.

Strapping, 25.

—— ankle, 27.

—— the breast, 25.

—— joints, 27.

—— —— with mercurial ointment, 28.

—— plasters, 25.

—— ribs, 36.

—— testes, 26.

—— ulcers, 27.

Strictures of the urethra, 134.

Stump, bandaging a, 22.

—— extending, 23.

Stumps, extracting, 125.

Subcutaneous injection, 187.

Supporting interdental splints, 35.

Suspending the testes, 12.

Swete’s carriage, 155.

Syringing the ears, 117.

T.

T-bandage, 11.

Taking off a starch bandage, 84.

—— a plaster of paris bandage, 88.

Talipes, 113.

—— equinus, 113.

—— valgus, 114.

—— varus, 113.

Tape for bleeding, 18.

Tapping, bandage for, 10.

Tendo achillis, ruptured, 59.

Tents, 160.

Testes, excising, 208.

—— strapping, 26.

—— suspending, 12.

Testing a truss, 162.

Thumb, bandage for, 14.

—— dislocation of, 103.

Tibia, fractures of, 61-67.

Toe, bandaging a, 22.

Tongue, excision of, 200.

Tonsils, excision of, 201.

—— bleeding, 201.

Tooth drawing, 122.

—— bicuspid, 124.

—— canine, 123.

—— incisor, 123.

—— molar, 124.

—— forceps, 122.

Tourniquets, 147.

—— abdominal, 149.

—— Carte’s, 149.

—— horseshoe, 148.

—— makeshift, 151.

—— Petit’s, 148.

—— ring, 147.

—— Signoroni’s, 148.

Tracheotomy, 202.

Transfusion of blood, 144.

Transporting the sick, 155.

Transverse fracture of the tibia, 66.

Trunk, bandaging the, 8.

Trusses, 161.

—— femoral, 163.

—— inguinal, 163.

—— measuring for, 164.

—— Salmon & Ody’s, 165.

—— umbilical, 165.

Tubes, drainage, 161.

Turns, different, 2.

Tying for lithotomy, 140.

—— in a flexible catheter, 139.

—— in a silver catheter, 138.

U.

Ulcers, strapping, 27.

Ulna, fracture of, 43.

Umbilical hernia, 165.

Union, angular, 76.

Urethra, conformation of, 132.

—— injecting the, 128.

Urethral syringe, 128.

Urethrotomy, 209.

Urine, retention of, 209.

V.

Vaccination, 190.

Vagina, plugging the, 127.

Valgus, 114.

Vapour bath, the, 155.

Varieties of turns, 2.

—— of splints for the elbow, 48.

Varus, 113.

Venesection, 18.

Vesicants, 169.

Vesicle in vaccination, 191.

Vesico-vaginal fistula, 209.

Vienna paste, 169.

Vitriol, oil of, 169.

Vulcanised india-rubber catheter, 130, 136.

Vulcanite splint for jaw, 34.

W.

Waistcoat, strait, 11.

Washing out the bladder, 137.

Water-bed, 141.

—— can weight, 80.

—— cushion, 142.

Wedge-pad for fractured clavicle, 57.

Weight for pulley, 80.

Wire gauze splints, 48.

Wood’s operation for hernia, 206.

Wool, cotton, 14.

Wound of palmar arch, 17.

—— opening in splint for, 87.

Z.

Zinc, chloride of, 169.

THE END.

BRADBURY, EVANS, AND CO., PRINTERS, WHITEFRIARS.