The surgeon's practical guide in dressing, and in the methodic application of bandages

Front matter

THE

SURGEON’S PRACTICAL GUIDE.

LONDON :

Preface

TO

THE SECOND EDITION.

The favourable reception accorded to the former edition, affords the Author a gratifying proof that his views were correct, and his anticipations not ill-founded.

In the present edition, by effecting numerous improvements, — particularly in the introduction of Mayor’s new system of Bandaging and Suspension, — he has, he trusts, not only materially increased the usefulness of the work, but furnished it with a still greater claim to the kind attention of his professional brethren.

63, Margaret-street, Cavendish-square,

November 1836.

PREFACE.

A Pocket Manual, calculated to improve a department of Surgery which, unfortunately, has been too long neglected in this country, and spare the practitioner the sacrifice of much valuable time, cannot but be deemed a great desideratum. How far the Author may be likely to succeed in accomplishing these important objects, will be seen in the perusal of the following pages.

The work is divided into two parts : the first treating of Dressings and Bandages in general, and the principles of their application ; the second, of Bandages in particular, classed according to the regions of the body, under the respective heads of Bandages of the Head and Neck, of the Trunk, of the Upper, and of the Lower Extremities. Each Bandage is moreover subdivided into its Composition, its Application, and its Use; particular observations being added as occasion may have required.

X

PREFACE.

Throughout the whole work, which is illustrated in various parts by wood-cuts carefully executed by Messrs. Bagg and Son, the Author has endeavoured to render the details as brief as possible, without the sacrifice of either clearness or exactitude. He has drawn the materials necessary to its execution from practice, from personal observation in the British and Continental Hospitals, and from the works of the most distinguished writers upon Surgery generally, or upon this department in particular of the science ; introducing nothing but what has appeared to him decidedly useful, he has still allowed for cases of great consequence an ample choice of means.

To conclude, he has studied to render the Work equally valuable to the Army and Navy Surgeon, the general Practitioner, and Student. His whole and sole aim has been utility, and should the event prove that he has not been mistaken in his views, the conviction of having done some service in the field of British Surgery, will adequately repay him for his pains.

Part The First

DRESSINGS AND BANDAGES IN GENERAL, AND THE PRINCIPLES OF THEIR APPLICATION.

Page

Dressing, definition of I

Objects of 2

Dint ib.

Charpie ib.

Plumasseau 3

Bourdonnet ib.

Tente ib.

Meche ib.

Tampon 4

Pelote ib.

Compresses ib.

Common Square Compress 5

Cribriform do. ib.

Maltese Cross ib.

Common Oblong Compress {Longitudinal Comp.) 6

Single Split do. ib.

Double do. do ib.

Common graduated do ib.

Graduated pyramidal do 7

Rollers 7

Single-headed roller 8

Double-headed do ' ib.

Xll

Contents

Dressing — Rollers. Page

Adhesive Plasters 8

Setons 9

Section I. Bandages Of The Head And Neck

Head.

1. Head-band

2. Four- tailed Bandage of the Head 54

3. Six-tailed Bandage of the Head 55

4. Capelina

5. T Bandage of the Head 57

6. Fronto-occipital Triangle 5g

7. Occipito-frontal Triangle jb

8. Bi-temporal Triangle it,

9. Nodose Bandage

Face.

10. Double T Bandage of the Nose GO

11. Another Bandage for the Nose .. .. .. Gl

12. Monocle g9

13. Simple Oculo-Occipital Triangle it,.

14. Double Oculo-occipital Triangle .... 63

15. Bandage for the Hare-lip Operation .. jb.

16. M. Thillaye’s Bandage for the same .. .. 64

17. Fronto-occipito-labial Triangle . . .. .. 67

18. Four-tailed Bandage of the Chin ib.

19. Parieto-mental Triangle 68

20. Chevaster jg

21. Parieto-submaxillary Triangle 69

22. Bandage for Fracture of the Lower Jaw, with

Splint _ 76

23. Mr. Lonsdale’s Apparatus for the same .. .. 71

CONTENTS.

xiv

Neck. Page

24. Bandage for Transverse Wounds of the Neck 74

25. Occipito-sternal Triangle 75

26. Bandage for Burns on the fore part of the Neck ib.

27- Fronto- dorsal Triangle 76

28. Bandage for Bleeding at the Jugular Vein .. 77

29. Cervical Cravat 78

30. Bandage for Wry-neck ib.

31. Professor Jiirg’s Apparatus for the same . . 79

32. Temporo-axillary Triangle 80

Section II. Bandages Of The Trunk

Thorax.

1. Dorso-thoracic Triangle 82

2. Body-bandage of the Thorax with Scapulary . . ib.

3. Bandage for Fracture of the Ribs 84

4. Quadriga ; or Crossed Bandage of the Thorax ib.

5. Suspensory for the Breast 86

6. Apparatus of M. Recamier for the treatment of

Cancerous Tumours of the Breast . . . . ib.

7. Compressive Bandage after Extirpation of a Dis-

eased Breast 88

8. The Strait Jacket 89

Abdomen.

9. Body-bandage of the Abdomen, with Thigh-

straps 90

10. Posterior Pelvic Triangle ib.

11. Anterior Pelvic Triangle 91

12. Bandage for the Umbilical Hernia of Infants. . ib.

13. Weiss’s improved Truss for Umbilical Hernia

in Females 92

14. Salmon and Ody’s Truss for Umbilical Hernia ib.

CONTENTS.

XV

Abdomen. Page

15. Salmon and Ody’s Truss for Inguinal or Scrotal

Hernia 93

16. Adams’s Graduated Pressure Truss for Inguinal

Hernia 94

17. Salmon and Ody’s Truss for Femoral Hernia.. 95

Observations upon Herniary Bandages . . . . ib.

Groins, Anus, and Genital Organs.

18. Inguinal Bandage 39

19. Cruro-abdominal, or Cruro-inguinal Triangle 97

20. Spica for the Groin 93

21. Cruro-inguinal Cravat 99

22. Spica for both Groins ib.

23. Double T Bandage of the Pelvis 100

24. Suspensory, or Bag-truss of the Scrotum .. 101

25. Compound Pubio-scroto-lumbar Triangle .. 103

26. Mr. Hunter’s Apparatus for retaining a Cathe-

ter in the Urethra ib.

27. The Metallic-ring Apparatus for the same .. 104

28. Elastic-gum, or India-rubber Apparatus of the

French Surgeons 105

29. Apparatus for fixing the Catheter in the Ure-

thra of the Female 106

30. Pessaries 107

31. Weiss’s Elastic Brace for Prolapsus Ani.. .. 108

Section III

BANDAGES OF THE UPPER EXTREMITIES. Shoulder.

1. Figure of 8 of the Shoulder and Axilla . . . . 110

2. Axillo-clavicular Cravat Ill

3. Simple Bis-axillary Cravat ib.

4. Compound Bis-axillary Cravat ib.

5. Figure of 8 for Fracture of the Clavicle .. .. 112

XVI

CONTENTS.

Shoulder. PaSe

6. Simple Bis-axillo-scapulary Cravat H-

7. Compound .. .. do 113

8. Dessault’s Bandage for Fracture of the Clavicle 114

9. Baron Boyer’s Bandage for the same .. .. H7

10. Modification of Mr. Earle’s Apparatus for the

same, by Mr. Chapman 118

11. Bandage for Dislocations of the Clavicle . . . . 120

12. Fracture of the Body of the Scapula ib.

13. Lower Angle of the same . . . . 121

14. Coracoid Process of the same .. ib.

15. Neck of the same ib.

16. Acromion ib.

17. Handkerchief Bandage for Fractures of the Cla-

vicle, Acromion, and Neck of the Humerus 122

18. Bandage for Amputation at the Shoulder Joint 123

19. Humero-scapulary Triangle for do 124

Arm.

20. Bandage for Dislocation of the Humerus .. 125

21. Fracture of the Neck of the Humerus ib.

22. Body of the Humerus 127

23. Amputation of the Humerus .. 129

24. Triangle-cap : — For the Humerus and all other

Amputations ib.

25. Fracture of the Lower Extremity of

the Humerus 130

Fore-Arm.

26. Sling for the Fore-arm 131

27. Ante-brachial Trough 132

28. Bandage for Phlebotomy 134

29. Sir A. Cooper’s Bandage for Fracture of the

Olecranon 136

30. Olecrano-metacarpal Cravat 137

31. M. Dessault’s Bandage for the same .. .. 138

32. Bandage for Fracture of the Radius and Ulna 139

CONTENTS.

XVII

Page

.33. Mr. Amesbury’s Splints and Bandage for Frac-

tures of the Fore-arm below the Olecranon 141

34. Ante-brachial Hyponarthecia 142

35. Bandage for Amputation of the Fore-arm .. 145

36. * Dislocation of the Humero-cubital

Articulation 14G

37- — — Dislocation backward of the upper

end of the Radius ib.

38- — forward of ditto . . .. 147

* of the Lower extremities

of the Radius and Ulna, or Dislocation of the Wrist ib.

40. Another for the same 148

Hand.

41. Sling for the Hand or Wrist ib.

42 Carpo-digito-dorsal Triangle 14y

43. Palmo-digito-brachial Triangle ib.

44. Bandage for Dislocation of the Metacarpal Bones

or the Phalanges 150

45. Spica for the Thumb ib.

46. Gauntlet 15j

47. Demi-gauntlet 152

Section IV. Bandages Of The Lower Extremities

Thigh.

1. Baron Boyers Apparatus for Fracture of the

Neck of the Femur !53

2. Mr. Amesbury s Apparatus for Fractures of the

Upper Part of the Femur 156

3. M. Dupuytren’s Bandage for the same .. .. 150

4. Bandage of Scultetus for Fractures of the Body

of the Femur . . ^ 160

b

CONTENTS.

Page

5. Eighteen-tailed Bandage

6. Mr. Amesbury’s Apparatus for Fracture ot the

Middle and Lower Thirds of the Femur

7. Femoral Hyponarthecia

8. Simple Femero-tibial do

9. Popliteal Saddle

10. Articulated Femoro-tibial Hyponarthecia

11. Uniting Bandage for the Coxo- femoral Ampu-

tation

12. Cruro-iliac Triangle

13. Uniting Bandage for Longitudinal Wounds of

the Thigh

14. — for Transverse do.

15. Bandage for Amputation in the continuity ot

the Thigh, when the wound is to be healed by the first intention

16. Dy. by the second intention

Knee.

17. Figure of 8 Bandage of the Knee 191

18. Weiss’s Elastic Knee-cap ib.

19. Scoolbred and Renwick’s Metallic do ib.

20. Bandage for Transverse Fracture of the Patella 192

21. Mr. Amesbury’s Apparatus for the same. . .. 193

22. Rotular Hyponarthecia 194

23. Compound Metatarso-rotular Cravat .. .. 195

24. Sir Astley Cooper’s Bandage for Dislocation up-

wards of the Patella 196

I/EG.

25. Mr. Amesbury’s Apparatus for Fractures of the Leg 198

26. M. Dupuytren’s Bandage for Fractures of the

Lower Extremity of the Fibula 203

27. Tibial Hyponarthecia 204

28. Common Rolled Bandage of the Leg .. .. 207

CONTENTS. xix

Page

20. Mr. Baynton’s Compressive Bandage for Atonic

Ulcers of the Leg 208

30. Common Laced-stocking for Compression of the

Leg 212

31. Shoolbred and Renwick’s Metallic Elastic

Laced-Stocking 213

32. Bandage for Rupture of the tendo-Achillis . . ib.

33. Another Bandage for the same 215

34. Metatarso-crural Cravat ib.

35. Metatarso-pelvic Cravat 216

36. Tibio-scapulary Cravat ib.

Ankle and Foot.

37. Weiss’s Elastic Gaiter 217

38. Bandage for Bleeding at the Foot ib.

39. Dislocations of the Ankle-joint .. 218

40- Fracture of the Os calcis .. .. ib.

Appendix

Clinical Frame, on Hyponarthecic principles, for bed-ridden Patients labouring under great bodily sufferings . . 220

THE

SURGEON’S PRACTICAL GUIDE.