The breast- its anomalies, its diseases, and their treatment (1917) (14570632997)

Identifier: breastitsanomali00deav (find matches)

Title: The breast: its anomalies, its diseases, and their treatment

Year: 1917 (1910s)

Authors: Deaver, John B. (John Blair), 1855-1931

Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy

Publisher: Philadelphia, P. Blakiston's Son & Co

Contributing Library: Francis A. Countway Library of Medicine

Digitizing Sponsor: Open Knowledge Commons

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of the pectorahs major and minor muscles are left at their origin to prevent adher-ence to the ribs and to make a good bed for grafting should it be required. • In tumors of the upper hemisphere the incision should be made above the clavicle and the posteriortriangle of the neck explored. In tumors of the lower hemisphere, I never e.xplore the neck. Thesupra-clavicular incision is also made in case I encounter infection of the glands or fat in Mohrenheimsspace. If the glands just belo-w the clavicle are involved, it is reasonable to infer that those just aboveit may be infected; at least it is unwise to infer that they are not. The closing of the wound is begun where it was started—that is near the clavicle, and can be ac-complished by either interrupted or continuous suture. In case of difficulty in approximating the flapsthe central third of the wound is left unsutured and is immediately covered by suitable grafts taken fromthe thigh after the method of Thiersch. 6l2 THE BREAST

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Fig. 230.—Illustrating the Rodman operation for mammary carcinoma. Axillary dissection completed.Fascia, fat and enlarged glands en masse shown at base of axilla.

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1917

Francis A. Countway Library of Medicine

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