Surgical therapeutics and operative technique (1917) (14775392001)
Zusammenfassung
Identifier: surgicaltherapeu02doye (find matches)
Title: Surgical therapeutics and operative technique
Year: 1917 (1910s)
Authors: Doyen, Eugene Louis, 1859-1916 Spencer-Browne, H
Subjects: Surgical Procedures, Operative Surgery, Operative
Publisher: New York : William Wood
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons and Harvard Medical School
Text Appearing Before Image:
Fig. 347.—Diagrammatic Scheme of H^mostasis in a Case of Intraglandular Enucleation. After ablation of the adenoma, a considerable oozing haemorrhage takes place in thewound. The bleeding-jDoints must be respectively seized with artery-forceps. OPERATIONS ON THE NECK 207 tied (Figs. 340 and 341). The ligature of this pedicle is seen in Fig. 342.Fig. 343 shows the hgature of the inferior thyroid artery, as formerly appliedin the depth of the wound and with danger of wounding the recurrentnerve. On the other hand, if my technique is adopted, the artery is foundelongated, as shown in Figs. 336 and 344. By this procedure the processes
Text Appearing After Image:
Fig. 348.—Eetro-Sternal Polycystic Goitre: Diagrammatic Antero-Posterior Section. of crusliing and ligature are carried out at a distance of several centimetresin front of the recurrent nerve, which remains in contact with the tracheabehind the perithyroid cellular sheath. It now remains to treat the inferiorpedicle of the isthmus. The pedunculation of the tumour is also inspiredby the individual case. We have seen that, in cases in wliich the tumour 208 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE occupies nearly the whole substance of the thyroid body, the method ofinstantaneous crushing enables us to preserve from a healthy cornu athyroid lobule sufficient for prevention of cachexia strumipriva.
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