Manual of operative surgeryP. Blakiston's son, 1905 - 628 pages |
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Common terms and phrases
abdominal wound abscess adhesions anastomosis anus applied artery axilla belly bladder bleeding blunt dissection bone cannula capsule catgut catgut sutures cavity clamp Close the wound colon cord cyst defect disease divided drain drainage dressings duct duodenum dura edge excision exposed external fascia finger fistula flap forceps gall-bladder gauze gland groove hemorrhage hemostasis hernia inches incision injury intestinal iodoform iodoform gauze kidney Kowalzig layer ligament ligate ligature liver loop lower method middle line mucosa mucous membrane muscle necessary needle nerve oblique opening operation outer packing palate parietes pass patient pedicle periosteum peritoneal peritoneum pleura portion position posterior Poupart's ligament prostate pull raw surface rectum removed Retract rubber segment separate side silk skin skull Step stitches stomach structures surgeons sutures tendon thread thyroid tion tissue trachea tracheotomy transverse treatment trephine tube tumor upper upwards ureter urethra Vanverts vein vertical vessels viscus wall
Popular passages
Page 460 - Its course corresponds to a line drawn from a point midway between the anterior superior spine of the ilium and the symphysis pubis, to the inner side of the inner condyle of the femur.
Page 229 - ... chest. The heart is situated obliquely in the cavity of the thorax, from above downwards, from before backwards, and from right to left. It lies behind the middle and lower bone of the sternum, also behind the cartilages of the third, fourth, and fifth right ribs, near the sternum, and the cartilages of the third, fourth, fifth, and sixth ribs on the left side, in front of the bodies of the sixth, seventh, and eighth dorsal vertebrae. It rests immediately above the diaphragm upon its cordiform...
Page 204 - The axillary vein should be stripped absolutely clean. Not a particle of extraneous tissue should be included in the ligatures which are applied to the branches, sometimes very minute, of the axillary vessels. In liberating the vein from the tissues to be removed it is best to push the vein away from the tissues rather than, holding the vein, to push the tissues away from it. It may not always be necessary to expose the artery, but I think that it is well to do this.
Page 149 - The rectus posticus major arises from the spinous process of the axis, and is inserted into the inferior curved line, on.
Page 294 - I believe that the best means of reaching the seat of constriction will be by inspection of the bowel presenting at the wound. There is a high probability, wherever the cause lie, that the most dilated coils will rise nearest to the surface; and, the greater amount of bowel being within three inches of the umbilicus, there is a further probability that the most dilated coils will be within sight. Very gently they may be moved first on one side, then on the other, as well as upwards and downwards....
Page 204 - When we have reached the junction of the posterior and lateral walls of the axilla, or a little sooner, an assistant takes hold of the triangular flap of skin and draws it outward to assist in spreading out the tissues which lie on the subscapularis, teres major and latissimus dorsi muscles. The operator, having taken a different hold of the tumor, cleans from within outward the posterior wall of the axilla.
Page 203 - There is nothing but skin in this flap. The fat which lined it is dissected back to the lower edge of the pectoralis major muscle where it is continuous with the fat of the axilla. 3. The costal insertions of the pectoralis major muscle are severed, and the splitting of the muscle, usually between its clavicular and costal portions, is begun, and continued to a point about opposite the scalenus tubercle on the clavicle.
Page 203 - ... 7. The whole mass, skin, breast, areolar tissue and fat, circumscribed by the original skin incision is raised up with some force, to put the submuscular fascia on the stretch as it is stripped from the thorax close to the ribs and pectoralis minor muscle.
Page 203 - The costal insertions of the pectoralis major are severed and the splitting of the muscle, usually between its clavicular and costal portions, is begun, and continued to a point about opposite the scalenus tubercle on the first rib.
Page 380 - ... under it, he retracts the left side of the wound and the viscera, which would otherwise fall over the common duct and impede the view. It will now be observed that, instead of the gall-bladder and cystic duct making a considerable angle with the common duct, an almost straight passage is found from the opening in the gall-bladder to the entrance of the bile-duct into the duodenum...