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Surgical Operations Volume 1; A Short Description of the Surgical Anatomy and Modes of Tying the Principal Vessels. the Ligature of Arteries

Surgical Operations Volume 1; A Short Description of the Surgical Anatomy and Modes of Tying the Principal Vessels. the Ligature of Arteries


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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1885 Excerpt: ...over the artery, a circumstance which considerably increases Fig. 59.--Surgical anatomy of the neck. the difficulty of the operation. The posterior belly of the omo-hyoid may be exposed in the upper part of the wound. Trace the tense border of the anterior scalene muscle down to the tubercle on the rib. It is well to keep the left forefinger on this till the artery shall be discovered lying just external and a little behind. After opening the sheath with some blunt instrument, pass the needle close behind the vessel from below upwards. There is a great liability to include the lowest cord of the brachial plexus, or even to mistake it for the artery when operating upon the dead subject, an accident which has taken place on the living. The artery is flattened and ribbon-like, the cord of the plexus is rounded and tense. To avoid including it, the needle may be passed from above downwards. In this way, however, both the subclavian vein and the pleura will be in considerable danger, but they may be pushed aside. LIGATURE OF THE SECOND STAGE OB' THE SUBCLAVIAN ARTERY BETWEEN THE SCALENI MUSCLES. Anatomical Relations.--The artery lies between the anterior and middle scalene muscles. The anterior scalenus, upon which the phrenic nerve passes obliquely downwards and inwards, separates the artery from the subclavian vein. Behind and below is the apex of the pleura. The cords of the brachial plexus are above (Fig. 59). Guide.--Scalenus anticus. Operation.--This part of the artery may be reached in the wound made for ligature of the third stage after dividing the outer part of the scalenus, or by making an incision similar to, but more internal than, that for third portion. Divide the skin, platysma, and cervical fasciae as before, also the outer part of the sterno-ma...


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Product Details
  • ISBN-13: 9781152575301
  • Publisher: Rarebooksclub.com
  • Publisher Imprint: Rarebooksclub.com
  • Height: 246 mm
  • No of Pages: 38
  • Spine Width: 2 mm
  • Width: 189 mm
  • ISBN-10: 1152575309
  • Publisher Date: 19 May 2012
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Weight: 86 gr


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