INSTRUMENTS FOR OPERATIONS ON THE LIMBS.
Reading edition
Ligature of the Larger Arteries. Amputations at the Shoulder-Joint, Joint, Arm, Forearm and Wrist; Metacarpus, Hip, Thigh and Leg; by Syme’s and Chopart’s Operations; Metatarsus.
Resections, of the Head of the Humerus, Elbow, Hip, and Knee.
Removal of Necrosed Bone.
LIGATURE OF THE LARGE ARTERIES.
1. Scalpel. 11. Artery forceps.
2. Grooved director. 12. Fine ligatures.
3. Dissecting forceps. 13. Sutures.
4. Broad grooved director. 14. Scissors.
5. Probe. 15. Sponges on sticks.
6. Blunt hooks. 16. Larger sponges.
7. Metallic retractors. 17. Strapping.
8. Aneurism needle. 18. Lint.
9. Ditto, helix curve. 19. Bandage.
10. Waxed compressed whipcord. 20. Chloroform and inhaler.
RESECTION OF THE SHOULDER.
1. Scalpels. 12. Sutures.
2. Saw (Irish bow-saw). 13. Key to compress the subclavian artery.
3. Retractors. 14. Cautery iron.
4. Lion’s-tooth forceps. 15. Wire nippers.
5. Blunt hooks. 16. Lint.
6. Artery forceps. 17. Bandages.
7. Torsion forceps. 18. Strapping.
8. Tenacula. 19. Oiled silk.
9. Acupressure needles. 20. Sponges.
10. Linen retractors. 21. Mackintosh sheet.
11. Ligatures. 22. Chloroform and inhaler.
RESECTION OF THE ELBOW.
1. Straight bistoury. 11. Ligatures.
2. Retractors. 12. Sutures.
3. Blunt hooks. 13. Lint.
4. Bow-saw. 14. Oiled silk.
5. Probes. 15. Bandages.
6. Gouges. 16. Strapping.
7. Torsion forceps. 17. Sponges.
8. Artery forceps. 18. Mackintosh sheet.
9. Lion’s-tooth forceps. 19. Angular splint to support the arm.
10. Bone forceps. 20. Chloroform and inhaler.
RESECTION OF THE UPPER END OF THE FEMUR.
1. Strong bistoury. 11. Torsion forceps.
2. Probe-pointed bistoury. 12. Tenaculum.
3. Long probes. 13. Ligatures.
4. Bow-saw. 14. Sutures.
5. Retractor. 15. Bandages.
6. Blunt hooks. 16. Lint.
7. Narrow linen retractor. 17. Sponges.
8. Gouges and chisels. 18. Straight bracketed long splint and pads.
9. Bone forceps. 19. Chloroform and inhaler.
10. Artery forceps. 20. Mackintosh sheet.
RESECTION OF THE KNEE.
1. Straight bistoury. 11. Ligatures.
2. Scalpels. 12. Sutures.
3. Metallic retractors. 13. Tourniquet.
4. Bow-saw. 14. Sponges.
5. Gouge. 15. Lint.
6. Chisel. 16. Bandages.
7. Artery forceps. 17. Oiled silk.
8. Torsion forceps. 18. McIntyre’s splint and pads.
9. Acupressure needle. 19. Chloroform and inhaler.
10. Tenaculum. 20. Mackintosh sheet.
REMOVING NECROSED BONE.
1. Scalpels. 13. Artery forceps.
2. Straight and curved bistouries, with sharp and probe points. 14. Tenaculum.
3. Long and short probes. 15. Torsion forceps.
4. Directors. 16. Acupressure needles.
5. Retractors. 17. Ligatures.
6. Gouges. 18. Sutures.
7. Chisels. 19. Lint.
8. Bone forceps (various). 20. Bandages.
9. Gouge forceps. 21. Oiled silk.
10. Sequestrum forceps. 22. Mackintosh sheet.
11. Lion’s-tooth forceps. 23. Chloroform and inhaler.
12. Osteotrites.
AMPUTATION AT THE SHOULDER JOINT.
1. Tourniquet. 10. Strapping cut into strips.
2. Long amputating knife. 11. Bandages.
3. Artery forceps. 12. Lint.
4. Fine ligatures, stout ligatures. 13. Oiled silk.
5. Tenaculum. 14. Sponges.
6. Acupressure needles. 15. Cautery irons.
7. Needle nippers. 16. Ice.
8. Key to compress subclavian artery. 17. Mackintosh sheet.
9. Sutures. 18. Chloroform and inhaler.
AMPUTATION OF THE ARM.
1. Tourniquet. 13. Bandages.
2. Amputating knife. 14. Wadding.
3. Saw. 15. Straight splints.
4. Artery forceps. 16. Sponges.
5. Torsion forceps. 17. Mackintosh sheet.
6. Ligatures. 18. Chloroform and inhaler.
7. Sutures. If a circular amputation—
8. Tenaculum.
9. Acupressure needles. 19. Split linen retractor; and
10. Wire nippers. 20. Round-pointed straight-edged knife.
11. Strapping.
12. Lint.
AMPUTATION OF THE FOREARM AND WRIST.
1. Tourniquet. 10. Sutures.
2. Large bistoury, or small amputating knife. 11. Lint.
3. Torsion forceps, artery forceps, and ligature thread. 12. Wool.
4. Artery forceps. 13. Splints.
5. Saw. 14. Bandages.
6. Acupressure needles. 15. Oiled silk.
7. Needle nippers. 16. Sponges.
8. Tenaculum. 17. Mackintosh sheet.
9. Fine ligatures. 18. Chloroform and inhaler.
AMPUTATION OF METACARPAL BONES AND PHALANGES.
1. Narrow-bladed bistoury. 10. Splint to support the arm and hand.
2. Bone forceps. 11. Bandage.
3. Torsion forceps. 12. Lint.
4. Artery forceps. 13. Oiled silk.
5. Fine ligatures. 14. Mackintosh sheet.
6. Small suture. 15. Sponges.
7. Strapping. 16. Tourniquet.
8. Narrow bandage. 17. Chloroform and inhaler.
9. Wadding.
AMPUTATION AT THE HIP JOINT.
1. Lister’s aorta compressor. 10. Lint.
2. Long hip knife. 11. Strapping plaister.
3. Artery forceps. 12. Sponges.
4. Stout and fine ligatures. 13. Bandages.
5. Torsion forceps. 14. Ice.
6. Tenaculum. 15. A bone-holder, or lion’s-tooth forceps, if the fragment of the bone is too short to grasp in the hand.
7. Acupressure needles. 16. Chloroform and inhaler.
8. Needle nippers. 17. Mackintosh sheet.
9. Silk and silver sutures.
(See also the List for the Operating Room).
AMPUTATION OF THE THIGH AND LEG.
1. Tourniquet. 15. Bandages.
2. Amputating knife. 16. Oiled silk.
3. Scalpel. 17. Cautery iron.
4. Bone forceps. 18. Ice.
5. Saw. 19. Sponges.
6. Torsion forceps. 20. Mackintosh sheet.
7. Artery forceps. In a circular amputation—
8. Stout and fine ligatures.
9. Sutures. 21. A round-pointed knife, and a linen retractor split into two tongues for the thigh and three for the leg, the centre one being well waxed.
10. Tenaculum.
11. Strapping.
12. Hare-lip pins.
13. Wire nippers.
14. Lint.
AMPUTATION AT THE ANKLE AND FOOT.
(Syme’s and Chopart’s Operations.)
1. Tourniquet. 11. Strapping.
2. Strong bistoury. 12. Sutures.
3. Strong scalpel (Syme’s). 13. Lint.
4. Saw. 14. Bandages.
5. Bone forceps. 15. Oiled silk.
6. Artery forceps. 16. Wool.
7. Torsion forceps. 17. Sponges.
8. Tenaculum. 18. Chloroform and inhaler.
9. Acupressure needles. 19. Mackintosh sheet.
10. Wire nippers.
AMPUTATION OF THE METATARSAL BONES AND TOES.
1. Tourniquet. 10. Lion’s-tooth, or sequestrum forceps.
2. Straight bistoury. 11. Strapping.
3. Tenaculum. 12. Lint and wool.
4. Torsion forceps. 13. Bandages.
5. Acupressure needles. 14. Narrow saw.
6. Needle nippers. 15. Bone forceps.
7. Artery forceps. 16. Mackintosh sheet.
8. Ligatures. 17. Chloroform and inhaler.
9. Sutures.