NE W E LE ME NTS O P E R A T I V E S U R G E R Y ALF . A . L. M . V E LPE AU, L E THE FACULTY E D NE PARIS U GE N THE H T L HA E SURGICAL N P A LA. C RITR PROF SSOR OF C I IQ U OF OF M ICI OF , S R O OF OS I OF , YA ACADE MY OF M ED NE T T T T E BE THE L _ IE N E E TC . M M R OF RO ICI , OF I S I U , CARE FULLY RE VISED E NTIR LY RE M DE LLE D AND AUGME NTE D WITH , E O , A TRE A TI S E O N M I N O R S UR G E R Y ; ILLUS TRATE D B Y OV E R 200 E NGRAV INGS INCORPORATE D WITH THE TE X T ACC OMP ANIE D WITH AN ATLAS I N Q UARTO OF TWE NTY- TWO P LATE T N PA . PE ATI VE P E A T T EP E EN ING THE P L E G L IN EN S &o. R R S RI CI O R ROC SS S, SUR IC S RUM , ICAN FROM THE LAS ARI THIRD AME R , T P S E D ITION. TRANSLATE D B Y N E . T W P . S O S ND , M . D ’ L E P ICIAN O THE S E AM E N S RE RE I OR Y E LA NE W Y K. AT H S T T AT, STAT N S ND, AUG-ME NTE D B Y THE ADDITION OF S E V E R A H UN D R E D P A E S O F E N T I R E N E W M A T T E R L G L Y , COMPRISING ALL THE LAT E ST IMPROV E M E NTS AND D ISCOV E RI E S IN SURG E RY IN AME RIC A AND E PE T T T UP THE P E E N E . URO , O R S IM NDE THE PE V N OF AND WITH N TE AND B E VAT N B Y U R SU R ISIO , O S O S R IO S V ALE NTINE M OTT, M . D . , P ROFE OR OF THE OPE R ION OF URG E RY WI URGIC L AND P OLOGIC L N OMY IN THE U IV E R I Y OF NE W ORK FORE IG SS AT S S TH S A ATH A A AT , N S T Y ; N O I I ROY LE D E M E D E CINE OP PARI OF 0 ? B E R I B R C E OF THE C E M C L U E L E E TC . ASS AT A AD A S, THAT N, SS S, ATH NS, I N T H R E E V O L U M E S . A T L A S . N E W Y O R K S A E S W I I A W O O D M U L . L L M , 1 T E E T N . 26 E ARL R o P S . 1 85 1 . E nt r d a ccord i n to Act of n r ss in the ea r 1 847 b e e g Co g e , y , y ‘ A E L . W LL A W D S MU S I I M OO , ’ - In the Clerk s 0 5 03 of the Dlstrict Court o f the Southern Dis tric t of New York. n c w rlm r a nd S tereo t er D . Pu ha , P e ) p , 35 Ann c o rner of Nassa u n a ct. e P L A T E ' I ANNE R IN TH I T M OF HOLD G E B S OURY . [S E E V OLUM E i . ] 1 i ht B istour with a S rin —Those . S tra a v Fig . p g bistouries th t ha e the handle fixed g y , . T possess the inconvenience of not allowing Of their being shut up hose which have _ no_ spring, though they may perhaps be somewhat more easily cleaned, are handled with less facility , ‘ one n Of . A while this might, if ecessary, be substituted for all them sliding button, such as b M. C e for n n . exists o those made y harri re , is moreover an excellent substitute the spri g 2 C nvex r b f m Fig . o cutting edge Of this bistou y eing uni orm fro the point b the to the heel it is more convenient than those in which the blade , roader in middle part than , o n one . posteriorly, has a cutting edge only half of it, or on its two anterior thirds — ‘ wi h a n E n lish orm In E Of 3. B istour t Fig . y g f ngland they scarcely make use any other than d . T h small convex bistouries , movable on their han les heir use, which is_ convenient w en it is a d matter of importance to keep the instrument at a very short distance from the parts to be ivided , e a w b e is never absolutely called for, and th French bistoury may l ays substituted for them . — - lun t oin ed or B utton z oin ted B istour . This 4 . S tra i ht B t Fig . g p , p y is the bistoury with which sta h lora h w h the tonsils are excised when we perform p y p y, and the one ith whic we enlarge & c . certain abscesses, fistulas , osi on o r c 5 . F irst P ti n . e Fig , the onvex bistoury held in the full hand, with its cutti g edg downwards . Th i h i s 6 . e W t t Fig . same position , or the bistoury held in the full hand cutting edge upwards. 7 . S econd P osition m bo Fig , the cutting edge of the bistoury held in the anner of a w a nd facing downwards . h 8 . T e Fig . same position , with the cutting edge facing upwards . ' - 9 . hir osition a s a i i d . d P w r t n en n T . Fig , or the bistoury held g p , the cutti g e ge upwards 1 0 . S a d h . n t e i vr st. Fig ame position , point of the bistoury turned backwards or towards the y 1 1 . r h . F t P osition ou u a . Fig , the bistoury held as a pen , with the c tting edge upw rds 12 . S Fig . ame position , and the point of the bistoury turned backwards . 1 . 3. F i th P osition u Fig f , the bisto ry held as a bow , the cutting edge transversely . S uTURE s m r e — 1 . i le o In terr a S r A . 4 S u ted o n utu e A A N o r o f Fig p p , ( p i ts separ s) , , , ooses [ points] B R - . B B n or the suture , , , osettes, or bow k ots , which fix fasten each of its points . — 1 . B n . 5 The usti fa ufil S uture A A E d Fig g (en ) , , xtremities of the threa , and which are o c m to be knotted separately , and which have been left free i n order t o prehend the nature Of . B B B P the process better , , , oints Of the suture . 6 . w . 1 Fig T isted S uture. — — . 1 7 . uilted S uture A A um la stic Fig Q , cylinder of adhesive plaster wood, whalebone e or , , g , ' on Of n B S e d lin o h - Of . c der f metal , fixed one side the wou d by the nooses each thread , con y ad e e d of sive plast r, on which is to be fastene by a knot the free extremity each point Of the suture . ’ ’ — . 1 8 . S ira l Whi or Glover s S uture A A E the t d Fig p , p, , , xtremities Of thread a li tle rawn u B . B B P pon in order to tighten their turns , , , oints of the suture . P L A T E I I . LIGATURE OF ARTE RIE S . The on a - Fig. X . arteries raised up, as m ny sounds , are seen on this figure at the great majo The rity of points where the surgeon is called upon to cut down to them . patient is represented o f in a convenient position for a ligature upon each them , except that we must suppose him Th e of to be lying horizontally for that upon the external iliac . hands , instead being placed from above dow nwards should be in a contrary position for the carotid and subclavian , but if placed , The r re re- so here they would have concealed the parts Of the figure too much . other figu es p of th e . T sent Of their natural size, each wound kind at present under consideration hey retain , its number and form . E AD NE CK AND UPPE R E XTRE IT . H , , M Y T A 25 .