A
FEW SUGGESTIONS
IN
GENERAL
SURGERY.1
BY
C. F. Walters, F.R.C.S., to the Bristol
Surgeon
Royal Infirmary.
Pressure Forceps My first
suggestion,
one on
Technique.
general technique, proven single page article of some
this
ten years, is based on a years ago that I have been unable to unearth again, in which is described a method of tying ligatures by means of artery seven
On this
forceps. all
manoeuvres
means
it
"
as
one
of
has
technique by which suturing are done by one may perhaps describe
developed
ligaturing
a
and
of pressure forceps, so that The Pressure Forceps Technique."
One has
operation
always
seen
bone, brain and
on
"
in the so-called
joint
an
spoon and fork element of r^v
one has seen ligaturing, the operation still further jeopardised by hand suturing when gloves are so readily torn, whereas by means of tbe Pressure Forceps Technique the surgeon's hands appr?aC^ no nearer to the wound at any period of the operatic11
introduced
by
hand
and sometimes
than the distal end of the instrument in
use.
This
appbeS
aS also to the house surgeon and dressers. So that as far ih? 1 the surgeon is concerned, from an aseptic point of view,
chain is
complete,
be embarked
on
and bone, brain and
with
This is the most there
are
joint operations
complete confidence. important feature of
this
method,
cdfi ^
bu
others.
Accessibility is improved ; it is easy to ligature at a dep by sight when hand ligature must of necessity obscnr the view, and is sometimes impossible. 1
Read before
May 14th,
1924.
a
Meeting
of the Bristol
Medico-Cliirurgical SocicO
A FEW SUGGESTIONS IN
While
GENERAL SURGERY.
this method is best shown
Written word
one
is
confined
to the
203
by cinema, with
the
following diagrams:? FORCEPS
ON VESSEL
RTH.F.J
LT H. FORCEPS HOLDS LIGATURE UNTIL KNOTS ARE COMPLETE .
Fig.
i.
When second, second movement of right hand forceps is complete it has seized right end of ligature, it then passes to the right and the left to the left.
FORCEPS ON VESSEL
DIRECTION OF RIGHT HAND FORCEPS WHICH TIES BOTH LOOPS.
LT
hAND FORCEPS Fig. 2.
After
this movement
of
the
right-hand forceps
is
complete,
and it
FEW SUGGESTIONS
IN
GENERAL
SURGERY.1
BY
C. F. Walters, F.R.C.S., to the Bristol
Surgeon
Royal Infirmary.
Pressure Forceps My first
suggestion,
one on
Technique.
general technique, proven single page article of some
this
ten years, is based on a years ago that I have been unable to unearth again, in which is described a method of tying ligatures by means of artery seven
On this
forceps. all
manoeuvres
means
it
"
as
one
of
has
technique by which suturing are done by one may perhaps describe
developed
ligaturing
a
and
of pressure forceps, so that The Pressure Forceps Technique."
One has
operation
always
seen
bone, brain and
on
"
in the so-called
joint
an
spoon and fork element of r^v
one has seen ligaturing, the operation still further jeopardised by hand suturing when gloves are so readily torn, whereas by means of tbe Pressure Forceps Technique the surgeon's hands appr?aC^ no nearer to the wound at any period of the operatic11
introduced
by
hand
and sometimes
than the distal end of the instrument in
use.
This
appbeS
aS also to the house surgeon and dressers. So that as far ih? 1 the surgeon is concerned, from an aseptic point of view,
chain is
complete,
be embarked
on
and bone, brain and
with
This is the most there
are
joint operations
complete confidence. important feature of
this
method,
cdfi ^
bu
others.
Accessibility is improved ; it is easy to ligature at a dep by sight when hand ligature must of necessity obscnr the view, and is sometimes impossible. 1
Read before
May 14th,
1924.
a
Meeting
of the Bristol
Medico-Cliirurgical SocicO
A FEW SUGGESTIONS IN
While
GENERAL SURGERY.
this method is best shown
Written word
one
is
confined
to the
203
by cinema, with
the
following diagrams:? FORCEPS
ON VESSEL
RTH.F.J
LT H. FORCEPS HOLDS LIGATURE UNTIL KNOTS ARE COMPLETE .
Fig.
i.
When second, second movement of right hand forceps is complete it has seized right end of ligature, it then passes to the right and the left to the left.
FORCEPS ON VESSEL
DIRECTION OF RIGHT HAND FORCEPS WHICH TIES BOTH LOOPS.
LT
hAND FORCEPS Fig. 2.
After
this movement
of
the
right-hand forceps
is
complete,
and it
