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The double retractors take the place of an assistant in keeping the soft tissues out of the way of the operator, and in controlling the hemorrhage during mastoid and other operations of like magnitude. The retractors consist of two shafts, each armed with a series of hooks that can be brought together and interlocked for insertion into the incision, when they can be separated and fixed at any desirable point up to two inches apart. After they have been drawn apart as far as may be required, the thumb screw on the fixation bar next to the hooks should be screwed down firmly into the bar, the handles should be pressed a little together until the tissues are well stretched as the distal ends of the retractors separate, then the thumb nut on the thread bar should be turned down against the movable handle.
If the instrument is
BISHOP SS. NEW INSTRUMENTS.Read in the Section on Laryngology and Otology, at the Forty-fifth Annual Meeting of the American Medical Association held at San Francisco, June 5-8, 1894.. JAMA. 1894;XXIII(13):498. doi:10.1001/jama.1894.02421180016001g