Aids to obstetrics : double part / by Samuel Nall.

  • Nall, Samuel.
Date:
[1885?]
Catalogue details

Licence: Public Domain Mark

Credit: Aids to obstetrics : double part / by Samuel Nall. Source: Wellcome Collection.

    117/150 (page 113)
    cases, when the head will not readily pass, the instrument may be taken off, and after allowing the crushed head to mould itself to the passages, the blades may be again applied. XLIV. —EMBBYOTOMY. Under this heading two measures are included, viz. : Decapitation and Evisceration. The Operation is Indicated in cases'Vhere delivery of the body is prevented by pelvic deformity/oy malformations and visceral tumours of the foetus ;^also in neglected shoulder pre- , sentations when turning cannot be performedfitfK^TwW&tZQEi 1. Decapitation.—There are several methods of dividing the neck. * Sot?4%. t> . By JRamsbotham’s hook, the concave dage of which is sharp and cutting. The hook is passed round the neck, and, by means of a sawing movement, combined with traction, the neck is cut through. Its action must be guided by the left hand. (b) Division of the neck by a pair of blunt-pointed scissors. (c) Division of the neck by a -piece of whivcord.—The cord is passed over the neck by means of a flexible catheter, and is worked in a saw-like manner round the neck. To protect the soft parts of the mother the ends of the cord should be passed and worked through a speculum. (c) Division of the neck by a wire ecraseur, which is drawn into position round the neck by an instrument resembling that used for plugging the posterior nares. After decapitation the body is easily delivereaby traction on the arm, and the head is afterwards perforated, and delivered by the craniotomy forceps. 2. Evisceration is only indicated in cases when it is impos- sible to reach the neck and decapitate. Method.—The chest is perforated, and the contents of the chest and abdomen are broken up by the perforator and removed through the opening.