ered in with spica turns, and the bandage is finished by a circular turn
around the wrist (Fig. 38).
Use. — This bandage is employed to apply dressings to the dorsal
surface of the thumb and for the retention of splints in the dressing
of fractures or dislocations of the Iwnes of the thumb.
Spiral Reversed Bandage of the Upper Extremity. — Boiler two
and a h(df inrhcs in iridtli, xcrcn _i/ardx in len(/th. — Ai'PUC'ATiox. — The
initial extremity of tlie roller is placed upon the wrist and secured by
BANDAGES.
39
two turns iiroimd the wrist ; the bandage is tiien carried obliquely across
the back of the liand to tlie second joint of the fin>;ers, wliere a circular
turn sh(nild be made ; the hand is covered in by two or three ascending
spiral or spiral reversed turns. When the thumb has been reached its
base and the wrist are covered in by two iigure-of-S turns ; the bandage
is then carried up the forearm by spiral and s|)iral reversed turns until
the elbow is readied ; this may be covered in with spiral reversed turns,
and the bandage is next carried up tlie arm witii spii'al reversed turns to
tiie axilla {Fig. 39). If on reaching the elliow the arm is bent or is to
Fig. 39.
Spiral rt;versetl bandage of the upper extremity.
be flexed in the sul)scquent dressing, the elbow siiould be covered in
with figure-of-S turns, and when this lias been done tiie arm may be
covered in witii spiral reversed turns. AVheu ])ropcrlv applied the
reverses sliould be in line, and should not be made over tlu' prominent
ridge of the ulna.
Use. — This is one of the most generally employed of all the roller
bandages ; it constitutes the jn-imary roller which is applied in the dress-
ing of fractures of the humerus, and is also the l)andage eniiiloyed in
holding dressings to the arm and forearm, and in securing splints to these
parts in the treatment of fractures and dislocations.
Pigure-of-8 Bandage of the Elbow. — Roller fwo iiichra in iridfli,
four yardft in Iciu/th. — AppLiCATiux. — The initial extremity of the
bandage is placed upon the foi-earm a short distance below the elbow-
joint, and fixe(l by one or two circular turns, the arm being flt'xed. The
bandage is then carried by an nbliipie turn across the flexure of the
elbow-joint, and passed around the arm a few inciics above the elbow ;
a circular turn is then made, and the roller is next carried across the
flexure of the elbow and passed around the forearm. These turns are
repeated, and turns from the forearm ascending and those from the arm
descending, each set of turns crossing in the flexure of the elbow until
it is covered in, and a final turn is passed circularly around the elbow-
joint (Fig. 40). This bandage is sometimes a]i|)licd by first making
one or two circular turns arouiul the elbow and tluii applying the figure-
of-8 turns as previously described.
Use. — This bandage is often employed as a ])art of the spiral reversed
bandage of tlie upper extremity when the arm is to be flexed, and is also
used to hold dressings to the region of the elbow-joint. It was formerly
40
Miyon SURGERY.
imifli used to lidld the cuniiiri'ss ii|)i>n tlic wotiiid rcsultino- from vene-
.sec'tioii at tlio clliow.
Fig. 40.
Figuru-iil s bamla^'e of the elbow.
Spica Bandage of the Shoulder (ascending-). — RnUer firo and a
liii/f iiiclics ill iriilf/i, scrrn i/iirdy in k'lir/fli. — Ai'i'LicATioN. — The initial
extreniitv oi' tlie roller is placed (ililii|iiely iipiin the outer surface of the
arm ojiposite the axillary fold, and fixed bv one or two circular turns.
If the right shoulder is to he covered, the bandage is next carried across
the front of the chest to the axilla
Fig. -II. of the opposite side, then around the
back of the chest to the ])oint of
starting upon the arm ; then conduct
the roller around the arm of this
side ii]i over the shoulder, across
the front of the chest, through the
o))]K)site axilla and back over the
posterior sui'tace of the chest to the
point of starting ; continue to make
the.se ascending turns, each turn
overla])]>ing the preceding one about
two-thirds until the shoulder is cov-
ered in (Fig. 41), when the extrem-
ity of the bandage may be secured
by a pin at the ]>oint of ending, or
the last turn may be carried from
the shoulder around the back of the
neck and brought forward over the
opposite shoulder and })iinied to the turns which pass around the axilla.
It should be remembered that the turns of the roller overlap each other
exactly in the ojijiosite axilla, and it will be found more comfortable to
the jwtient to apply a little cotton wadding in the axilla to ]>revent the
bandage from excoriating the skin of this part. Care should l)e taken
to see that the turns are made in such a manner that the spica turns
occujiy, as nearly as pos.sible, the median line of the shoulder. When
.spica bandage of :slinvil.b.i tasi-entUii;;).
BANDAGES. 41
this bandage is applied to the left shoulder, after fixing the initial
extremity bv eireular turns around the arm the roller should l)e carried
over the baek of the ehest to the axilla of the op])osite side, and then
brought baek to the pt)int of starting ; the succeeding turns are then
applied in the s;imc manner.
Spica Bandage of the Shoulder (descending). — Roller tiro <ni<l a
half iiiclicfi in tridth, ■■icrcn i/urds in lcii//tli. — Api'lJCATiox. — The initial
extremity of the roller should be fixed upon tiie arm as near as possible to
the axillary Ibid by one or two circular turns, and if ajiplied to the right
shoulder the bandage .should be passed under the axilla and carried
obliquely over the shoulder to the
base of the neck, then downward
across the front of the chest to tlie
axilla of the ojiposite side ; from the
axilla the roller is carried over the
back of the chest to the base of tlie
neck, so as to cross the first turn at
this [)oint ; it is then carried to tiic
axilla and through this, then back
to tlie neck, the turns descending
toward the shoulder. These turns,
taking the same course, arc repeat<,'d,
each turn overlapping two-thirds oi'
the previous one until the shoulder
is covered in and the circular turn
around the arm is reached, at which
point the extremity is secured by a
'• /Ti- f.-i\ ' ■ Spiea bandage of shoulder (desceudingi.
pni (rig. 42).
Use. — The spica bandages of the shoulder are employed to hold
dressings to the shoulder, to hold compresses over the acromial end of
the clavicle in case of dislocation of that portion of the bone, to retain
the slioulder-ca|) used in the treatment of fnictures of the upper portion
of the humerus, and to retain dressings to the axilla.
Velpeau's Bandage. — Two rollers two (ind a half inches in width,
seven yards in lfn</th. — Appi-ication. — The patient should place the
fingers of the hand of the affected side on the opposite shoulder; the
initial end of the roller should be placed on the Ixxly of the scapula of
the sound sidi' aud secured by a turn made liy carrying tlic bandage oyer
the shoulder of the afiected side, near its outer jxirtioii, then conducting
it downward over the outer and posterior surface of the arm of the same
side, behind the point of the elbow, and obliquely acro.ss the front of the
chest to the axilla of the opposite side, thence to the point of starting.
This turn should Ik- repeated, to fix the initial cxtrcMiiity of the bandage.
Having completed tlie second turn, carry tiie roller transversely around
the thorax, jiassing over the Hexed elliow of the affected side, from this
point to the axilla, and through this to the back. From this point the
roller is carried over the shoulder and down the outer and posterior sur-
face of the arm behind the elbow, and obliquely across the front of the
chest through the axilla to the liack, and, continuing, passes transversely
across the back of the chest to the elbow, which it encircles, then
passes to the axilla. These alternating turns are repeated until the arm
42
MTXOR SURGERY.
:iiul foirarni arc Vwiinil firmly to the side and chest. The vertical turns
(ivijr tlio shoulder, cacli turn coverinfr iu two-thirds of the ])revious turn,
and asceuiling from the ])oint of the
^^^^^^ '' ''^^^^^^^ shoulder toward the neck and from
^^^^^B ^ ^^^^^^H the the
^^^^^^ 4Hk..V^^^^^^I want the elbow, are ap2)lied until the
^^^^^ \ 'R^jp/' ^^^^H point of the elbow is reat'hed. The
P ^^B transverse turns passinfi around the
I \ M. ^M chest and arm are so a])])licd that they
1 ■ ascend from the point of tlie elbow
^ F I f"^™!"*^' f^'i*^' shoulder, each tiUMi cover-
B I' I '">^ "^ one-thirtl of the previous one,
^K % ■ and the last turn should pass trans-
^^^ V>' ■ versely around the shoulder and chest,
^^ft M . 1 covering the wrist (Fig. 4;j).
^^^L fUlfc] '^'**' f-'^tremity of the bandage
^^^^ '■■■ ^'"'"I'^l 'jt' secured by a pin where it
^^^m-^. V^jI ends, and additional fixation will be
~,. , . , , secured by introducino: a number of
\ elptau s ban Jage. . i • i i
])ins at the ponits wliere the turns
of the bandage cross each otiicr.
Use. — This bandage is cni])loved to fix the arm in the treatment of
certain fractures of tlie clavicle and sca])ula ; also to secure fixation of the
humerus after the reduction of tlislocations of the shoulder-joint.
Desault's Bandage. — Three rollers two and a half inches in iridth,
serrn i/ards in leiujth. — A wedge-shaped pad to fit in the axilla is also
re(|uired. These rollers arc known as the /i/'.s/, second, and third rollers.
First roller of Desault's Ixiiidiiije. — APPLICATION. — Before applying
the first I'oller the arm of the patient
on the injured side should be elevated
and carried off at riu-ht angles to the
l)ody; the wedge-shaped pad with its
base in the axilla should next be applied
to the side of the chest, and the initial
extremity of the roller is ])laced upon
the middle of the pad and fixed by two
or three circular turns around the chest ;
the bandage is then carried down the
chest by oblicpie circular turns until the
lower extremity of the pad is reached,
and it is then carried up the chest until
the u])])er extremity of the pad is
reached, when it is conducted obliquely
across the front of the chest to the
sound shoulder and passed under the axilla, brought over the shoulder
and conducted around tlic chest, where it is secured (P'ig. 44).
Second roller of Desault's handage. — Application. — Tlic arm should
be In-ought down against the side, so as to press upon the pad jjreviously
applied, and the forearm should be flexed upon the arm and brought
across the lower portion of the chest. The initial extremity of the roller
is placed in the axilla of the sound side, and the bandage is carried
Fig. 44.
First njllur uf Desault's bainltipi'.
BAyDAOES.
43
around the ehost and over the arm of'tlu' injurc<i >i(lc, makinti; a circular
turn amund the chest to Kx it ; then spiral turns are made around the
chest from above downward until the clixiw is reached, the turns heinc;
more firndy applied as they descend, and when this point is reached the
end of the bantlage is secured. Or the initial extremity of the bandage
may be placed upon the chest of the sound side, and a circular turn may
be made to fix it, and then spiral turns including' the <'hest and arm mav
be made from below u[)ward initil the axilla is reaclu'd (Fig. 4o).
Fig. 4.5
Flu. 41;.
Second roller of Ut'sanlfs bainlase.
r f>f Desault's bamlaei'
Third roller of Dcmull's hu)i(J<i(/r. — Ai'i'iJC.VTiox. — The initial ex-
tremity of the roller is placed in the axilla of the sound side, and the
bandage is carried obliquely over the front of the chest to the shoulder
of the injured side, pas.sed over this, and condiu'ted down the back of
the arm to the elbow, thence obliquely upward over the upper fifth of
the forearm to tlie axilla of the .sound side. From this point it is carried
backward obli(|uely over the back of the chest to the shoulder; crossing
the previous shoulder-turn, it is conducted down the front of the arm
to the elbow, then around this and backward iiblii|uely over the back of
the chest to the axilla of the sound side. These turns are repeated until
three sets of turns have been applied, which should overlie each other
exactly (Fig. 46). The course of the turns of the third roller is con-
sidered the most difficult to remember, and the student may be assisted
in its correct application by remembering that all the turns start at the
axilla, pass to the shoulder, and then to the t'll)o\\, and from the ell)ow
always return to the starting-point, the axilla. The turns of the third
roller make two triangles, one on the anterior surface of the chest, the
other upon the back.
After tl'.e application of the three rollers the hand and uncovered
portion of the forearm should be supported in a sling suspended from
the neck.
Use. — This bandage, applied completely, or some one of its various
rollers, is employed in the treatment of fractures of the clavicle.
Arm-and-chest Bandage. — Roller two awl a linlf inchea in widl/i,
seven yards in lenr/fli. — -lie fore applying this l>andage the arm should be
placed against the side of the chest and a f ilded towel or a pad of cotton
should be placed in the axilla and allowed to extend from the axilla to
44
MINOR SURGERY.
tilt' el!)ow ; the latter is used to prevent the opposing surfaces of skin
from becominfj exc'oriateil by eontaet.
Application. — The initial extremity of tlie bandage is placed upon
the spine at a point opposite the elbow-joint, and it is fixed by a turn or
two passing around t lie arm and ehest ; the bandage is then continued
by making aseendiiiu spiral turns, covering in the arm and chest, until
the axilla is reached ; at this point the bandage is carried through the
axilla and over the back of tlie chest to the top of the opposite shoulder,
and it is then conducted ilown the front of the arm to the elbow, is
passed between the arm and chest and carried u[) the back of the arm to
tile shoulder, and is then passed obli(|uely across the front of the chest
and is secured upon tiic back of tlie chest. Pins should be introduced
at the points of crossing of the bandage (Fig. 47).
Fl<;. 47.
Ai-iii-and-chest bandage.
Use. — This bandage will be found useful in fixing the arm to the
body and in fixing tlie shoulder-joint where it is desirable to allow the
forearm to be free. It is employed in the treatment of fractures of the
shaft and iieck of the humerus, to fi.x the arm and hold splints in posi-
tion.
Bandages of the Trunk.
Spiral Bandage of the Chest. — Roller three inchex in vulfh, nine
yards in hiif/tli. — Application. — The initial extremity of the roller is
applied to the anterior portion of the wai.»;t, and fixed by one or two cir-
cular turns ; the bandage is then carried ujnvard, encircling the chest
by ascending spiral turns, each turn covering in one-half of the previous
BANDAGES.
45
turn until the axillary fold is rcai'hed ; the iY)lIer is next caiTied around
the axilla to the hack, and ohIi(|Ucly over this to the base of the neck of
the opposite side, and then it may be passed
down over the chest and pinned to the
spiral turns at several jioints ; a pin should
also be inserted at tlic j)oint where the last
turn of the roller leaves the sjiiral turn upon
the back of the cliest (Fio;. 48).
Use. — This batidage is employed to hold
dressings to the chest, anil may be used as a
temporary dressing in fractures of the ribs
or sternum. Care should be taken that
the bandage be not so tiglitly applied as to
interfere with respiration.
Anterior Figure-of-8 Bandage of the
Chest. — Roller tiro nnil <t half inclie.H in
width, m'reii i/arrLs in Iciir/fli. — APPLICA-
TION. — The initial extremity of the roller
should l)e placed in the axilla of one side,
and the bandage is then carried obli((Ucly across the anterior portion of the
chest to the shoulder of the opposite side; it is then carried liackward
around tiie shoulder and through the axilla, and is next conducted ob-
liquely over the anterior jiortion of the chest to the opposite shoulder,
through the axilla and again back to the anterior portion of the chest,
the turns crossing in the median line over the sternum. These turns
siiould be repeated, ascending from tlie shoulder toward tlie neck, each
turn overlapping three-fourths of the preceding one, until five or six
turns have been a]5])lied, the end of the bandage being secured by a pin
(Fig. 49), or it may be completed bv a circular turn around the chest.
S]-)iral l)an(la
iif the ohest.
Antentjr rij^uruMii-s bandage of the chest.
Use. — This bandage may be employed tt) bring the shoulders forward
and to hold dressings to the anterior portion of the chest.
Posterior Figure-of-S Bandage of the Chest. — Roller two and a
half inches in width, xeren yards in length. — Ai'i'LlcATlOX. — The initial
extremity of the roller should be placed in the axilla of the left side,
and tlie bandage is then carried oblirpiely across the liack of the chest to
the tij) of the opposite shoulder ; it is next carried through the axilla and
46
MINOR SURGERY.
cuiuliicted across tlie posterior portidii <if tlio chest to the tip of the oppo-
site siioukler, and passed tliroiitfli the axilla to the ])oint of starting.
These turns are repeated, aseending from the shoulder toward the neck,
until five or six have been applied, the end of the Ijandage being secured
PostLiKu hgurt ofsliuKligt t)l tht chest.
by a i)in (Fig. 50). In a])j)lying both of these bandages the crosses of
the bandage, either anterior or posterior, should be made in the median
line of the ehest.
Use. — This bandage may be emjiloyed to hold dressings to the pos-
terior portion of tlie ehest and to draw the shoulders backward.
Suspensory and Compressor Bandag-e of the Breast. — Boiler (wo
and <t lialf iiirlicti in icidt/i, ncvcn yards in.
l"i''- ■')! Iciif/tJi. — Applicatiok. — The initial ex-
tremity of the roller should be placed
upon the scapula of the affected side, and
secured by two obliijue turns carried over
the opposite shoulder and conducted down-
ward mider the breast to be covered in,
and then carried to the axilla of the same
side. Next carry the roller transversely
around the ehest, covering in the lowest
]i(irtion (if tlie affected breast. These turns
should he repeated, the oblique turns from
the axilla over the shoulder alternating
with the transverse turns around the
ehest until the breast is covered in, each
series of turns aseending and covering
two-thirds of tlie preceding turn (Fig. 51).
Use. — This bandage is empkned to support the Ijreast and to make
compression at the same time ; it may also be employed to hold dressings
to the breast.
Suspensory and Compressor Bandage of Both Breasts. — Two
roller.s fwo and a half inches in width, seren yards in length. — Applica-
tion. — The initial extremity of the bandage should be secured by
oblique turns of the axilla and shoulder as in the jireeeding Ijandage ;
the roller should next be carried transversely around the back to the
breast, then under the bi'east and upward over the opposite shoidder,
Susj>L'ns()ry and compressor Imnduj^^e
of the breast.
BANDAGES. 47
then obliquely downward around the chest to the other side, being carried
transverselv over the lower portion of both breasts to the })oint of
starting upon the back. Repeat these obli(pie turns from the shoulder
to the breast and from the breast to the shoulder, and alternate them
Fio. 5-2.
Suspt'usury and eouipressur IjaudaLrt' nf liuth liruasts.
with a transverse turn around the chest and over both breasts. Both
series of turns should ascend, and eacli turn should overlap two-thirds
of the preceding one (Fig. 52).
Use. — This bandage is employed to support and compress both
breasts and to retain dressings to them.
Bandages of the IjOweu Extremity.
Single Spica Bandage of the Groin (ascending). — Roller two and
(I hcif inrhrs hi irttlf/i, screii yards in loKjtIi. — A I'PLICATION. — Place
the initial extremity of the bandage upon the anterior portion of the
right thigh just below the groin, and secure it by one or two circular
turns around the thigh, or place the initial extremity of the roller
obliquely upon the upper part of the thigh, and carry it behind the
linii> and upward around the outer side of the thigh to the abdomen,
omitting the ciri'ular turns ; then carry the bandage obliquely across the
lower part of the abdomen to a point just below the crest of the left
ilium, and conduct it transversely around the back of the pelvis to
a corresponding point on the opposite side ; then bring it obliquely
downward to tlie groin over to the inner portion of tlie thigh, carrying
48
.VrXOR SURGERY.
it around the linih, orosHiii<j tlic startiiiji-tiirn in tlie middle line of the
thif;ii. These turns are repeated, eaeh turn aseending' and covering in
two-thirds of tJie pi'evious turn, until six or eight complete turns liave
been made, and the l)andage is secured at any point where it ends
(Fig. 53).
Fig. o3.
Fig. 54.
Ascending spifit tjamUL^u "T tliu gruin. DcscL-nding tpicii baiuUiyu ul' the groin.
Single Spica Bandage of the Groin (descending). — BoUer tiro
(inil (( hd/f iiiclirs in iriilt/i, scren i/ard.s in /cyK/^A.— -APPLICATION. —
Place the initial extremity of the roller ohliquely upon the anterior
surface of the right thigh, and secure it by one or two circular turns
around the limb, or start the bandage with an oblique turn, as previously
described; then carry the bandage ()blii|uely across the abdomen to
a point just l)elow the crest of the ilium, and conduct it transversely
around the back of the ])clvis to a corresponding jxiint on tiie opposite
side; then l)ring it obli(picly down over the lower jxirtion of the abdo-
men, crossing the iirst turn, to the junction of the thigh \\ith the
scrotum ; pass it under the thigh and bring it up over the kiwer part
of the abdomen, and let it follow the course of the tirst turn. These
turns are rej)eate(l, each turn descending and overlapj)ing two-thirds of
the previous turn until the groin is covered (Fig. o4). When either
of these bandages is a])j)lied to the left groin, after the initial extremity
of the roller is tixed it is carried tirst to the crest of the ilium of the
same side, then around the back of the pelvis to a corresponding point
on the opposite side, then oblitjuely across the lower part of the abdomen
to the outer aspect of the thigh, being conveyed under thi.s and ])rought
up l)etween the thigh and the scrotum, passing obliquely over the groin
to follow the course of the original turn.
Use. — The spica bandages of the groin are employed to hold dress-
ings to wounds in the inguinal region ; for instance, to those resulting
from herniotomy or from operation upon the glands of the groin. They
are also employed to make pressure upon this region, and will often prove
of use in the securing of eomj)re.sses applied for the teinjjorary retention
of hernijfi.
BANDAGES.
49
Fig. 55.
Spica Bandage of Buttock. — -Ko/lcr tiro and a half inches in irirJfh,
seven yards in /cnf/th. — Application'. — Tho initial extremity of tlie
bandage is placed upon the hack of
the thigh ju.st l)el(i\v the glnteal fold,
and i.s carried around the thigh and
brought back to the posterior aspect
of the limb, so as to fix and cross the
starting turn near the middle of the
thigh. It is next conducted ob-
liipiely across the thigh and but-
tocks and carried to the brim of
the pelvis of the ojiposite side, when
it is brought oblicpu'ly over the ab-
domen and back to the posterior
surface of the thigh. There ascend-
ing turns are applied, each turn cov-
ering in about three-fourths of the
preceding one, until the buttock is
covered, and the bandage is then
finished by one or two circular
turns around the pelvis and abdo-
men (Fig. 55).
U.SE. — This bandage is employed
to hold dressings to the upper posterior portion of the thigh or the
buttock.
Figtire-of-8 Bandage of the Knee. — Roller tiro and a half ine-hes
in iri(Uh,firr i/ards in liiujtli. — APPLICATION. — The initial extremity of
the roller is jilaced upon the thigh three inches above the patella, and
secured by two or three circular turns ; tlien conduct the bandage over