Author: Frank Burr Tibbals

Publisher: Forgotten Books

Published: 2018-01-22

Total Pages: 68

ISBN-13: 9780483667174

Excerpt from Detroit Medical Journal, Vol. 3: September, 1903 Fig. 2. The Ligature in place and the Ferule ready to be pushed down when ends are stretched. Fig. 3. The Ferule pushed down and short end of ligature cut off. Ready for use. Since the adoption of the mcgraw rubber ligature in surgery, one of the chief oh stacles to a finished technique in its use has been the fact that the ligature always made the orifice in the tissues much too large. The thickness of the ligature itself, even when under tension, and the fact that it had to be doubled at the eye of the needle were the two chief factors in this trouble. The style of needle which we represent, the design of Dr. Angus mclean, of De troit, Mich successfully overcomes the difficulty. It is so simple that its advan tages must be self-evident, and yet it perfects the technique in the use of rubber ligatures. A slot in the eye provides for the easy introduction of the ligature into the butt of the needle; there is no threading necessary. When the ligature is intro ducea into the eye, much after the manner of the introduction of thread into the blind man's needle, it is cut off near the eye and a ferule which closely fits the needle is pushed snugly over the ligature and the eye, securely fastening it. In this way the thickness of the needle at the eye end is increased only by the thickness of the ferule, which is inconsiderable, and the surgeon has an 0p portunity for using a rubber ligature without appreciable increase of diameter at its point of entrance into the needle - something which we believe has not heretofore been accomplished in work with ligatures of this type. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.