Identifier: systemofsurgery04bell (find matches)
Title: A system of surgery
Year: 1787 (1780s)
Authors: Bell, Benjamin, 1749-1806
Subjects: Surgery Surgery
Publisher: Edinburgh : Printed for Charles Elliot ... (et al.)
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Ch. XXVIII. charged, to the upper end of the pharynx.The gut fhould now be filled with cold vi-negar, water, or any other cold liquid,by means of a fyringe inferted at the endhanging out at the noflril 5 and as muchbeing inje£led as the gut will admit, thewhole fhould be prefTed as far up as pof-fible, and fhould be fecured in this fitua-tion by a firm ligature. In this manner a very confiderable degreeof prefTure may be applied; and fome ad-vantage may be derived from the applica-tion of cold direflly to the vefTel fromwhence the blood is difcharged. In fomeinftances, however, even this may befound to fail, owing to the ruptured vef-fel being fo fituated that prefTure cannotin this manner be applied to it. In fuchcircumftances, we muft attempt by othermeans to put a flop to the hemorrhagy; andit may commonly be done in the follow-ing manner. Let the curved inftrument, fig. 4. PlateXLIIL be inferted at one of the noflrilswith a piece of catgut or firm waxed thread con^ PLAIMi.Xl.lll
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pbp* Se<3:. ill. ^ofe and Fauces. ^^ contained in it; and being conveyed intothe throat, the ligature mud be laid holdof with a pair of forceps, and taken out atthe mouth, when the inftrument is to bewithdrawn and again introduced at theother noftril with a ligature of the famekind. A bolder of foft lint, of a fufEcleritfize for (lufEng or filling up the pofteriornares is now to be firmly tied to the twoends of the ligatures hanging out at themouth, when the oppofite ends of themmud be pulled forward at the nodrils tillthe cufliion of lint is firmly applied to andfixed in the upper part of the pharynx;when a comprefs of lint mud be appliedto each nodril, and fixed in this fituationby tying the two ligatures ever it. Thepatient (hould now be laid to red. If thebolders of lint have been properly applied,no blood will efcape either from the pode-rior or anterior nares ; any blood that isefFufed into the nodrils will foon coagu-late, and thus a dop will be put to the he-morrhagy. It is

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