File:Surgical after-treatment; a manual of the conduct of surgical convalescence (1911) (14764572062).jpg

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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nd in all other cases of epididymitis in which applica-tions to the. skin are not used. In operative cases it prevents the scro-tum from hanging down and thus increasing the tendency to infiltrationof blood into the lax scrotal tissues. In the ambulatory cases of epi-didymitis the scrotum is supported continuously, and the bandage can- 2o6 BANDAGING not be loosened up or removed by the patient, as is sometimes to befeared, especially in the class of patients which are accustomed to fre-quent the out-patient clinics. The suspensory consists of a piece of adhesive plaster, 5 in, wideby 12 in. long, and is applied as follows: Patient lies with the legsspread apart. The scrotum is held elevated by an assistant. Theadhesive plaster is placed across the perineum on a line with the junctionof the scrotum and the perineum. The plaster is then brought upwardacross the scrotum, and split in the center from the upper end down-ward to a point corresponding to the junction of the penis and scrotum
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Fig. 78.—Perineal Dressing (Cunningham). (Fig. 76). The penis is drawn forward into the apex of this slit andthe two ends fastened to the abdomen (Fig. 77). The plaster is thenmade to fit the sides of the scrotum by sticking the two free edges to-gether. In the upright position the testicles are held elevated. If a large scrotal dressing is employed, an additional strap placedacross the scrotal bandage and fastened to either side of the scrotum maybe of service. Perineal Dressing Bandage.—This consists of a waistband, 48 in.long and 5 in. wide, in the center of which are sewed 2 flaps, 36 in. long,one of which is split in the center (Fig. 78). It is applied as follows:Patient is in the dorsal position, with the legs spread apart. The PERINEAL DRESSINGS 207 waistband is fastened about the waist by safety-pins. The scrotumis held elevated by an assistant and the perineal dressing applied. Thetwo flaps are crossed over the dressing and a large safety-pin, including

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