Identifier: surgicalaftertre00cran (find matches)
Title: Surgical after-treatment; a manual of the conduct of surgical convalescence
Year: 1911 (1910s)
Authors: Crandon, L. R. G. (Le Roi Goddard), b. 1873
Subjects: Surgery, Operative
Publisher: Philadelphia and London : W. B. Saunders company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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ease to supervise thetreatment, otherwise mistakes or irregularities in the technique mayoccur which would mar the result. For the neck and head, a strap of garter elastic, about f in. wide,with a hook at one end and a number of eyes on the other, to allowfor different degrees of compression, best answer the purpose. Thisband is applied around the neck below the larynx. It must neverstrangulate. The patient himself must be the judge. The object BIER APPARATUS 235 of the treatment is to increase the quantity of blood in the head, buthyperemia must not interfere with the patients abihty to sleep, eat,and drink. In order to increase obstruction, a piece of soft felt maybe slipped under the bandage at the site of the jugular veins. For the testicles a rubber drainage-tube is passed around the rootof the scrotum and the ends held by a clamp or a tied tape. * Suction Cups.—For other parts of the body suction cups, pro-perly constructed and applied, have proved to be a most efficient means
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Fig. 89.—Suction Cups.Varieties of suction cups designed for various anatomic regions; suction pump; rubber bandage. of producing obstructive hyperemia. By applied suction hyperemiait will be seen that the skin, plus underlying tissues, are sucked intothe hollow of the glass. This causes a rush of blood into the respec-tive area, but the hyperemia does not involve the surface only; it alsoreaches into the deeper layers. Here again the first rule is not to overdo. The skin should turnred or bluish-red, but never white To be able to employ the method more generally, it was neces-sary to have cupping-glasses the shapes which were adapted to the 236 TREATMENT OF SEPTIC WOUNDS varying contours of the body surface (see Figs. 89-93). In thesmall-sized glasses, suction is obtained by a small rubber bulb, whichis either directly attached to the glass or communicates with it by meansof a rubber tube. With gentle pressure on the rubber bulb, the cup is put in placeand the hand is removed. The

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