Operative surgery / C.R. Whittaker.

  • Whittaker, Charles R. (Charles Richard)
Date:
[1919]
Catalogue details

Licence: Public Domain Mark

Credit: Operative surgery / C.R. Whittaker. Source: Wellcome Collection.

    9/232 (page 3)
    Give the Collateral Circulation. When tied above the subscapular branch, the anastomosis occurs between the supra-scapular, posterior scapular, and dorsalis seapule; if tied below the subscapular, by the subscapular and posterior circumflex anastomosing with the superior profunda. BRACHIAL. Extent.—From the lower border of the teres major to the neck of the radius. Linzr.—See axillary artery. Sires oF Ligaturs.—A. In the centre of the upper arm. B, In the antecubital fossa. Inprications.—(a@) Local hemorrhage. (>) Palmar hemorrhage. (c) Traumatic aneurysm. Describe Ligat ure in the Upper Arm. Make a two-inch incision along the medial edge of the biceps, in the middle of the upper arm. Steps. (i) Divide the skin, superficial fascia, and deep fascia, the arm being abducted and extended, but not resting upon the table. Avoid the basilic vein in the incision, (ii) Define the medial edge of the biceps—the superficial guide; pull the muscle laterally. (iii) Recognise the median nerve crossing the artery from the lateral side—the deep guide; dis- place the nerve medially. (iv) Open the sheath, and pass the needle from the medial side. ‘Tie the artery with a chromic cut lgature. What Mistakes may occur in performing this Operation ? (a) Resting the upper arm upon the table; this procedure causes the triceps to displace the biceps.