Illustrated manual of operative surgery and surgical anatomyBailliere, 1864 - 513 páginas |
Contenido
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Otras ediciones - Ver todas
Términos y frases comunes
abdomen adhesions Amputation angle anus artery articulation assistant backwards beneath bistoury bladder blade border canal canula carried cataract catheter cauterisation cellular tissue compress conjunctiva cornea curved dilatation disarticulation disease dissected divided duct edges excision Exsection external extremity eyelid fascia fistula flap fold forceps foreign bodies front groove hernia hook humerus inch incision index finger inferior inner side inserted instrument integuments internal intestine introduced iris knife lacrymal layer lens ligament ligature lips lithotomy lithotrite median line metatarsal bone method MODES OF OPERATING mucous membrane muscle nasal neck needle nerve oblique opening orifice outwards passed patient performed perineum peritoneum PLATE points of suture portion position posterior prostate gland puncture rectum removed scissors sclerotica sheath skin soft stricture stylet superior surface surgeon SURGICAL ANATOMY suture symphysis symphysis pubis tendon thread tion trachea transverse trochar tumour ulna upwards urethra uterus vagina vein vessels wound
Pasajes populares
Página 63 - The surgeon recognizes the exact situation of the articulation by the rules already laid down, and then grasps, with the palm of his left hand, the sole of the foot, his thumb being placed on the outer side of the proximal end of the fifth metatarsal bone, and the index finger at the internal extremity of the articulation. He then makes a semilunar incision with its convexity looking...
Página 63 - ... interosseous ligament; it is then withdrawn, and applied to the external surface of the mortise. 4th. When this has been accomplished, pressure is made upon the metatarsus to separate the articular surfaces, and their remaining ligamentous attachments are successively divided, especially those on the plantar aspect of the articulation, so that the knife may be carried readily beneath the heads of the metatarsal bones, and the operation is then finished by cutting out a flap from the sole of the...
Página 63 - As the knife passes in the plane of its blade it should form an angle of thirty-five degrees with the axis of the shoulder, and its point should graze the posterior and external surface of the humerus, until it reaches the under surface of the acromion ; at this point the handle of the knife should be raised, and its point lowered so that it is brought out below and in front of the elaviele, u, in the triangular space between the, acromion and coraeoid processes, which is bounded posteriorly by the...
Página 63 - ... at the outer side of the posterior border of the axilla, in front of the tendons of the latissimus dorsi and teres major muscles, c (Fig.
Página 101 - ... in front with a chisel and mallet, or a small saw; detach the soft parts from the floor of the orbit, divide at once the superior maxillary nerve, and the connections of the bone with the pterygoid process; conclude the operation by...
Página 41 - Nelaton's guide, to detect any displacement of the femur at the hip joint, consists of a line drawn from the anterior superior spine of the ilium to the most prominent part of the tuberosity of the ischium.
Página 78 - ... at the lower angle of the wound already made, without coming in contact with the bones of the pelvis ; it is then carried downwards along the femur, and avoiding the lesser trochanter, so as to make an internal flap of the same length as the external. The flaps being drawn aside by the assistants, and the arteries tied, the surgeon grasps the femur with his left hand, and holding the knife perpendicularly on the inner side of the head of the bone, cuts the capsular ligament, without attempting...
Página 431 - The knees must be separated some 6 or 8 inches, the thighs at about right angles with the table, and the clothing all thoroughly loosened, so that there shall be no compression of the abdominal parietes. An assistant on each side lays a hand in the fold between the glutei muscles and the thigh, the ends of the fingers extending quite to the labia majora; then, by simultaneously pulling the nates upwards and outwards, the os externum opens, the pelvic and abdominal viscera all gravitate towards the...
Página 75 - The anterior border of the acetabulum is from an inch to an inch and a quarter to the outer side of the spine of the pubis ; 4th.
Página 77 - Fio. 88. on its outer side, whilst its handle is inclined upwards and outwards, and pushed steadily on in this direction, so that it perforates the integuments a few lines below the tuberosity of the ischium. While this is being done, an assistant grasps the tissues over the trochanter and carries them outwards, in order to assist in the formation of the external flap, and the knife is carried downwards and outwards with a slightly sawing motion, around the great trochanter, and along the femur,...