File:American gynaecological and obstetrical journal. (1897) (14769181295).jpg

Identifier: americangynaecol1018unse (find matches)
Title: American gynaecological and obstetrical journal.
Year: 1897 (1890s)
Authors:
Subjects: Obstetrics Gynecology
Publisher: New York : D. Appleton & Co.
Contributing Library: Columbia University Libraries
Digitizing Sponsor: National Endowment for the Humanities (NEH)

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inches long, the twoends of which are tied together. Their name, traction strings, sug-gests their use. These strings aie designated as 1, 2, and 3 bytheir corresponding number of knots. They are included intoeach knot of the ligature at the time it is tied, and when subse-quently drawn upon untie the knots. Application of the Traction Strings. When the operator is ready to tie off the pedicle, he slips overthe knotted end of the ligature traction string No. 3, and ties a sin-gle or a double knot as he prefeis. The surgeon then takes trac-tion string No. 2, slips it over the knotted end of the ligature, andties a second knot. For additional security a third knot is tied inthe ligature, traction string No. 1 having previously been appliedover the knotted end of the ligature. The knotted end of the liga-ture is now cut short and the three traction strings with the remain-ing long end of the ligature are tied together with a piece of fine A Method of Untying the Knots of Silk Ligatures.
Text Appearing After Image:
Fig. i.—The Grad Ligature. Traction Strings in Position. io8 Herman Grad, M.D. silk. At the completion of the operation these separate bundlesof traction strings and ligatures are brought down into the vaginaand serve also as drainage. Removal of the Ligatures. If the traction strings have been properly applied their subse-quent iemoval and that of the ligature can easily be effected. Thepatient is placed in the lithotomy position, the bundles of tractionstrings and ligatures are pulled out of the vagina, each bundle isseparated from that of its fellow and the thread binding the bun-dle selected is cut, thus releasing all the factors of each bundle(i e., traction strings and long end of ligature). Traction string No.i is now picked up, and a slow but steady traction is made on onehalf of it, until it is felt to move out of its poskion. The oppositehalf of the traction string is now pulled on until the string returnsto its former position. After making this forward and backwardmotion

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