. Fig. 179.—Photograph of a patient immediately after operation. Extensive tedema of tlie dewlap and neck. inwards and forwards towards the median plane, in order that the point may not deviate towards the left pleural sac ; the left index finger is then withdrawn, and by a sharp thrust of the right hand the trocar is pushed forward about 1 to 1^ inches and the pericardial sac is entered. The position of the canula should not be altered whilst liquid is escaping, for if it is thrust in too far a considerable quantity of fluid may remain in the deepest portion of the sac. The cavity having been
. Fig. 179.—Photograph of a patient immediately after operation. Extensive tedema of tlie dewlap and neck. inwards and forwards towards the median plane, in order that the point may not deviate towards the left pleural sac ; the left index finger is then withdrawn, and by a sharp thrust of the right hand the trocar is pushed forward about 1 to 1^ inches and the pericardial sac is entered. The position of the canula should not be altered whilst liquid is escaping, for if it is thrust in too far a considerable quantity of fluid may remain in the deepest portion of the sac. The cavity having been drained, a long strip of iodoform gauze is intro- duced into the track and a protective surgical dressing applied over the incision in order to prevent infection by the litter. In consequence of the introduction of the fingers into the track caused by puncture and the escape of ^pericardial liquid along the canula or after removal of the canula, the operative wound is necessarily infected ; but this
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectveterin, bookyear1920
