The American journal of the medical sciences (1827)
[Thorofare, N.J., etc.] Charles B. Slack [etc.] · leaf 74
ure to be readily passed. By this means we avoid one great source of irritation in this part of the operation, viz: the introduction of an additional instrument, and the disposition to cough or choke, when restraint is made on the velum. The needle held in the dressing forceps, was first carried… … pulling upon the single thread, so as to carry the knot and the back end of the ligature of the opposite side with it, the end of a forefinger being pressed upon the velum as the knot was passed with a slight twitch through the puncture. The double ligature being now passed through both sections of
Medicine
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