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Updated: June 9, 2025
It is a trephine, a surgical implement for cutting round pieces out of broken skulls, so as to get at the fragments which have been driven in, and lift them up. It has a handle like that of a gimlet, with a claw like a hammer, to lift with, I suppose, which last contrivance I do not see figured in my books.
I pray the gods that he may never be required to operate upon my eyes, or intestines, or any other delicate organ that he may never be required to trephine my skull, or remove the roof of my mouth. Of course he is a very good fellow. He walks straight into your drawing-room with a pipe in his mouth, bellowing out your name. No servant announces his arrival.
"Now," said the doctor calmly, when Shock and he had been left alone, "I hope there will be no more interruption. We must proceed with the trephining. Ah, beautiful, beautiful!" his quick moving, deft fingers keeping pace with his monologue. "There now," after a few minutes' work with the trephine, "the depression is lifted. We shall soon be finished."
The case had almost to a certainty been smashed to pieces; still, there was a chance that the trephine had escaped injury. He remembered the shaving-glass, and how it had been miraculously preserved, and started to work. He came across a flat oblong disc of tin; it had been a box of sardines, it was now flattened out as though by a rolling mill.
The hurts on his head, which were mere scalp wounds, healed over; the surgeon at the hospital was unable to find any indentation or injury to the skull itself which would account for the old man's condition. They talked for a long time of an operation, and did finally trephine, without result.
The technique of the operation is even more difficult and exacting than in the performance of the trephine operation, and it also compares unfavorably in safety. The advisability of removing the conjunctival flap, as advocated by Dr.
It is very difficult for one of limited experience to discuss a subject presented so ably by Lieutenant Colonel Elliot to whom we are indebted for the sclero-corneal trephine operation.
In pursuance of our purpose to avoid uveal tissue, we split the cornea, and place the trephine as far forward as such splitting will allow, and we bear on the trephine in such a way that it cuts through on the corneal edge of the wound first.
If the depressed portion is wedged then an opening should be made with the trephine and an elevating instrument called a spatumen used to relieve the pressure. Great care should be taken, however, in carrying out this procedure lest the bone of the cranium itself, in being lifted, should injure the soft structures within. The dura mater should be carefully protected from injury as well as the pin.
'Give me a poker, I yelled give me anything. I sent for my trephine. Great God, how the blood flew, and the bone creaked! I raised the depressed bone. The man lives. I've done everything, in my life. And now a cursed quack comes to town . Where's his wife? I say where's his suffering children? Don't tell me, anybody, that the man's not married, and run away from his suffering wife.
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