ON THE NATURE AND TREATMENT OF PULMONARY CONSUMPTION AS EXEMPLIFIED IN PRIVATE PRACTICE

C WILLIAMS
1868 The Lancet  
403 tion of the blades, unless the head be very low down in the pelvis. Here the curved or so-called long forceps can be sometimes used when the straight ones are inapplicable; but in any case the perineum is much in the way. When the forceps have been applied the further steps to be gone through vary according to circumstances. Sometimes we extract with the head in the same position ; at other times we rotate the head through a quarter of a circle-reduce the position, in fact, from third to
more » ... t, from third to second, or from fourth to first. For traction downwards and for facility of application the curved forceps are sometimes preferable to my own straight forceps; but when rotation is to be effected with the head rather high up, as happened to me but a short time since, the straight instrument answers the purpose most admirably. A curved instrument cannot readily be rotated when high up in the pelvis. I do not propose to-day to go into the question of the "high" operation. The tactics appertaining to this procedure are peculiar, and different from those which belong to the
doi:10.1016/s0140-6736(02)60215-6 fatcat:wttmpeilfzgrvbcn3425m6egxi