It should be the endeavor of every surgeon to perfect his technique so that each step of an operation is done simply, efficiently, and purposefully. In other words, every move should produce a definitely planned result. There should be no "puttering," no hesitation, no useless motions. And yet, he should not get into the habit, as many have, of doing a stereotyped operation. Each case calls for individual study.
Before a surgeon begins an operation, he should see that he has the proper instruments ready and that all cutting edges are sharp. For many years I have given demonstrations on the care of instruments, and I have found that anyone who learns to use an instrument can learn to sharpen it. Curettes, chisels, knives, and scissors can be made shipshape in a few minutes (Fig. 1A, B, C, and D).
As I watched other men work and especially during
NEIVERT H. PRINCIPLES AND MECHANICS OF SURGERY OF THE BONY NASAL VAULT. AMA Arch Otolaryngol. 1955;61(5):585–593. doi:10.1001/archotol.1955.00720020602010
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