Surgical operations / by William Mac Cormac.

  • MacCormac, William, 1836-1901.
Date:
1889
Catalogue details

Licence: Public Domain Mark

Credit: Surgical operations / by William Mac Cormac. Source: Wellcome Collection.

Provider: This material has been provided by UCL Library Services. The original may be consulted at UCL (University College London)

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    artery on the inner side of the posterior flap, are the chief vessels requiring ligature. Many surgeons prefer to stand between the patient's legs when the right limb is to be amputated. The knife is entered just below and anterior to the ischial tuberosity, passed across the Joint and made to emerge below the anterior superior spine. Although contrary to the usual rule of standing to the right of the limb to be removed, this arrangement allows the knife to be more readily handled in cutting the long anterior flap. The remainder of the procedure is identical with that already described. In thin persons, the anterior flap may be made by cutting from without inwards with a short amputating knife, and the vessels in the flap im- mediately tied; the rest of the operation being completed as before described. DISARTICULATION AT THE HIP-JOINT BY THE MODIFIED OVAL METHOD. This amputation, originally suggested by Furneaux Jordan, is extremely useful. It has frequently been made in old hip-joint disease, especially after Fig. 224.—Disarticulation of the liip-joint by the modified oval metliod. excision has been performed, also in cases of removal of the lower limb high up for malignant disease of the femur. The advantages claimed for the method are that, the wound being smaller, less shock follows, the haemorrhage is more easily controlled, and in suitable cases the removal of the upper end of the femur may be per-