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If you see him very savagely cut up in "The Revolver," you will recognize the kindly hands which held the bistoury, scalpel, and tenaculum, and the gentleman who wept while he wounded. But I have long enough, I fear too long, tormented you with my drivel.
In some cases he had seen the polyp was so difficult to get at or was situated so far back in the nose that it could not be reached by means of a tenaculum or scissors, or even the special knife devised for that purpose. For this three horse-tail hairs are twisted together and knotted in three or four places, and one end is passed through the nostrils and out through the mouth.
I cannot, leave a leg with the arteries not taken up, to count heads. Mr Rivers, the tenaculum ease the tourniquet, now." As I felt what the doctor said to be true, I got a lantern and commenced my examinations. I found fourteen wounded men waiting the doctor's care in the gun-room, which was almost a pool of blood.
Foreign bodies and an accumulation of ear wax are removed by means of instruments. A polyp is either cut off or its pedicle bound with a ligature, and it is allowed to shrivel. The next chapter is on the nose. Nasal polyps were to be grasped with a sharp tenaculum, cum tenacillis acutis, and either wholly or partially extracted.
Soft polyps should be drawn out with a toothed tenaculum as far as can be without risk of breaking them off. The incision should be made at the root so that nothing or just as little as possible of the pathological structure be allowed to remain.
If this is opened with a lancet, a minute fibrous cord will be exposed through its whole extent. It is the cord which governs the motions of the tongue. This cord is, sometimes, foolishly and uselessly detached from its adhesions, so far as we can effect it, and drawn forward with a tenaculum and divided. There is one abominable course pursued in effecting this.
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