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Updated: June 9, 2025
An incision is made down to and through the periosteum, and whether pus is found or not, the bone should be opened in the vicinity of the ossifying junction by means of a drill, gouge, or trephine. If pus is found, the opening in the bone is extended along the shaft as far as the periosteum has been separated, and the infected marrow is removed with the spoon.
A faint crackle of sound reached Harry's ears; then the world blacked out.... It might have been minutes, or hours, or days. The man who had been behind the desk was leaning over Harry, smiling down at him, gently bandaging the trephine wounds at his temples. "Gently," he said, as Harry tried to sit up. "Don't try to move. You've been through a rough time." Harry peered up at him. "You're not Dr.
It lay near the brass lock of the amputating case, attached to which there were some pieces of mahogany from the case itself. A trephine is just like a corkscrew, only in place of the screw you have a cup of steel. This steel cup has a serrated edge: it is, in fact, a small circular saw.
I am frankly afraid of these vibrating machines, and again make a plea for the finger tip, just as I am afraid of a Von Hippel trephine, and prefer one which is rotated with the fingers. A special investigation of pressure massage according to the method of Domec has been made by Paul Knapp of Basel.
And as tomorrows always had, tomorrow would take care of itself. Jimmy Holden's father and mother first met over an operating table, dressed in the white sterility that leaves only the eyes visible. She wielded the trephine that laid the patient's brain bare, he kept track of the patient's life by observing the squiggles on the roll of graph paper that emerged from his encephalograph.
In the latter disease, it is sometimes necessary to trephine and wash out the sinus or sinuses affected with an antiseptic solution. It may be necessary to continue this treatment for several weeks. BRONCHITIS. Inflammation of the bronchial tubes may be either acute or chronic.
I was provided with a trephine, thinking that only a portion of the bone had been depressed on the brain, and it would be necessary, with that instrument, to separate it from its attachment, and then with an elevator remove it; but I found that the greater part of the parietal bone was depressed, and that the fracture extended along the sagittal suture from the coronal and lamdoidal sutures.
There were several chop boxes of stores intact; and a cigar box without a crack in it, and also without a cigar. It looked as though it had been carefully opened, emptied, and laid down. There was no end to the surprises of this search: things brayed to pieces as if with a pestle and mortar, things easily smashable untouched. He had been searching for two hours when he found the trephine.
"No," said her new friend softly, almost absently, "it didn't do any good to trephine but it might have done a lot of harm. I'd like to see the back of your uncle's neck. I ain't in any hurry to get to that banquet at Atlanta a man can always overeat and make himself sick, without going so far to do it."
Where there is good reason to suspect a fracture because of the severity of the injury, the scalp should be incised and a fracture of the cranium looked for carefully. That is carrying the exploratory incision pretty far. If a fracture is found the surgeon should trephine so as to relieve the brain of any pressure of blood that might be affecting it.
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