BAN 



BAN 



be obferved, tbat the central portion muft always be placed 

 over the difeafed part, and the ends carried in oppofite di- 

 retlions, either crolTtd or llrctclied out. 



The Uniting Neck Bamliige. This bandage is formed in 

 the following manner. The fiirgeon takes a napkin four 

 double, lays it under the patient's axilla;, and pins it toge- 

 ther in the front of the brealt. He then takes two pieces 

 of linen, faftens one end of them to the patient's night-cap, 

 and the other to the napkin, in fuch a manner, that if the 

 wound be fituated in the trachea, or at the fore-part of 

 the neck, the ends, after the patient's head has been in- 

 clined forwards a little, can be fallened to the fore-part of 

 the cloth, in order to keep the head in that pufition. But 

 fhould the wound be fituated in the back of the neck, the 

 head may be inclined a little backwards, and retained by 

 the fame bandage in that pofition, by drawing the ends of 

 ithe two fmall tillets more backwards, and fallening them 

 there to the napkin. 



The application of the T bandage, according to Mr. 

 Evers's method, is how ever more advantageous, efpecially 

 for uniting wounds acrofs the throat. For this purpofe, 

 we are to take a fillet, three fingers broad and ten feet 

 long, and few to the middle of it another ot equal breadth 

 and fix feet long, fo as to reprefent the figure of the letter 

 T. The fmaller fillet is now to be flit open all but one 

 foot. In applying it, t!ie part at which the two hllcts 

 are fewed together, is placed upon the back of the neck 

 in fuch a manner that the fmaller fillet lies over the back of 

 the head upon the vertex. The two heads are next brought 

 forwards over the (houlders, then carried under the axillx, 

 which are guarded with coraprcfTes, to the back ; the ban- 

 dage is then crofTed, brought forwards again upon the breaft, 

 ^nd faflened. The flit ends of the fmaller iillct are next 

 -crofTed over the vertex ; after which they are carried over 

 the face under the axillx ; the patient's chin, if necelfary, 

 •being drawn downwards towards the breaft, and this fiUtt is 

 jfinally fattened like the former. Mr. Koehler has propofed 

 for this purpofe a leathern cap with flraps, by means of 

 which the patient's head may be drawn into any pofition 

 that may be necelfary. See the T Bandage. 



The Inguinal Bandage. The bandnge for luxations of the 

 OS femoris. This is a bandage eight or nine yards in length, 

 and three or four fingers broad, rolled up into one head. 



The Six-headed Bandage of Galen. This bandage confifts of 

 a piece of linen from three to four feet in lengjth, and 8 — 12 

 fini;ers broad ; its breadth and length being detemiined ac- 

 cording to the fize of the patient's head. The cloth is 

 folded in fuch a manner that its breadth can be divided into 

 three equal parts, and thefe parts are flit open from both 

 fides, fo far as to leave entire in the middle a fpace of the 

 breadth of a man's hand, by which means fix heads are formed. 

 It is applied nearly in the fame manner as the four-headed 

 bandage for the head. 



The many-headed Bandage. This Ijandage is formed of a 

 piece of linen or flannel, tb.e dimcnfions being regulated ac- 

 cording to thofe of the difeafed part, into which a number of 

 Hits are made at both fides, fo as to leave only one part en- 

 tire in the middle for the purpofe of connefting the reft. In 

 applying it, the whole piece is laid under the difeafed part ; 

 the loweft of the ends, which lies on the outer fide, is then 

 brought obliquely upwards on the inner fide, and that which 

 lies within is bi-ought oblit^uely upwards on the outer fide, 

 and fo on ; fo that the lower ends are always half covered 

 and fecured by the upper. A many headed bandage may 

 alfo be formed in another way, by cutting a piece of Knen or 

 flannel into fcveral ftrips, of which the one is always longer 

 than the other, but each of the fame breadth with the reft. 

 The (horteft is generally made a foot, and the longeft 6wo 



feet in length. All thefe ftrips are now laid over each other 

 in fuch a manner that always half the breadth of the one is 

 covered by the other. To fecure the whole, a narrow flip 

 of linen or tape is fewed to them behind and alfo in the 

 middle. In applying it, the narroweft part of the bandage 

 nuift always come to lie over the fmalleft part of the limb. 

 A bandage of this kind will perfoim the fundlions of the 

 beft applied circular or fpiral bandage, and it applies to the 

 parts far better than the eighteen-headed bandage ; on 

 which account it may be ufcd inftead of the latter. 



The T Bandage, the bandage for the fiftula in ano. Th's 

 is a common compound bandage, which is chiefly ufed in 

 lefions of the neck, the breaft, the abdomen, the back, but 

 particularly the genital organs, the anus, the groin, and 

 the perinxum. It is cither fingle or double. "The fimple' 

 T bandage is formed in the following manner : take a fillet 

 from four to eight ftst in length, and fold it togctlier in 

 fuch a manner as to get the cxacl middle point. At thij 

 middle point few to it another fillet in a perpendicular di- 

 reftion, and of f'-.ch length as may be moil convenient for 

 the purpofe for which it is intended. To form the double 

 T bandage, either two fillets are fewed in the middle ob- 

 liquely befide each other, or a whole piece is fewed on and 

 afterwards flit open. According to the dimenfions of the 

 place to which it is to be applied, it is made more or lefs broad. 

 Zwc Creeping Bandage. This is a common fimple bandage 

 rolled upon one head, which is applied in a fpiral manner 

 round the limb, fo that the one turn does not cover the 

 other, but only lies clofe to it, in fuch a manner that no 

 part of the limb remains vifible. It may fometimes be ufed 

 for fecuring compreffes and other dreffings. 



The Scapulary and Naphin. This bandage confifts of a 

 napkin, and a fcapulary as it is termed. The napkin is 

 folded together, and rolled upon two unequal heads ; the 

 middle part is then applied under the arm in fuch a manner 

 that the largeft head is carried over the back, and the fmaller 

 over the breaft ; but both heads are laid over each other, 

 and then fattened. But in order to prevent the napkin from 

 flipping out of its fituation, the fcapulary is required. This 

 is formed of a piece of linen 2 — 4 feet long, and half a 

 foot broad. In the middle of the piece a flit is cut, large 

 enough for the head to pafs conveniently through it ; and 

 in this manner one end hangs down before over the breaft, 

 and the other over the back. Thefe two ends are then 

 fallened to the napkin before applied. We may alfo flit 

 open the ends, and thus attach them more extended to 

 the napkin, by which means they will fupport it better. This 

 bandage may be ufcd in almoft all lefions of the breaft, as alfo 

 in fimple wounds of the abdomen. 



The Spiral Bandage. This is a common fimple bandage, 

 the length and breadth of which muft be adapted to the 

 dimenfions of the part : the fecond turn of the bandage 

 always covers the firft, and the third and following turns 

 always cover each the preceding turn, either half or a little 

 more, fo as to reprefent a fpiral figure. The turns may be 

 made either from the upper towards the lower part of the 

 limb, or from the lower towards the upper ; in the firft cafe 

 it is termed the defcending, and in the fecond, the afcending 

 fpiral bandage. It is generally applied in the laft-mentioned 

 manner, and may be ufed for fwathing whole limbs, by which 

 means alone very obllinate dife^es may fometimes be cured. 

 Mr. Theden (Neue Bemurkungen u. Erfahningen, &c. 

 Th. I. Berl. 1781, p. I.) was the firft who called the atten- 

 tion of the public to the more frequent and rational ufe 

 of fwathing with this bandage ; and experience has proved 

 that this pradice may certainly be attended with very 

 great advantages. In applying it, every thing depends 

 upoa the whole limb being entirely encircled with it from 



tbe 



