Surgical therapeutics and operative technique . Fig. 349.—Retro-Sternal Polycystic Goitre: Tamponing of the InferiorCavity, where Some Oozing Hemorrhage may persist. Dissection of the Trachea. The tumour is often strongly adherent to the trachea, to which it isfixed not only by the two lateral tracheo-thyroid ligaments, but also byadhesions to the median portion of the trachea. The lateral ligamentsand the antetracheal adhesions should be divided with scissors; the sectioncauses no haemorrhage. It is also easy to apply a forceps and carry outligation when necessary. Fig. 345 shows the crushing
Surgical therapeutics and operative technique . Fig. 349.—Retro-Sternal Polycystic Goitre: Tamponing of the InferiorCavity, where Some Oozing Hemorrhage may persist. Dissection of the Trachea. The tumour is often strongly adherent to the trachea, to which it isfixed not only by the two lateral tracheo-thyroid ligaments, but also byadhesions to the median portion of the trachea. The lateral ligamentsand the antetracheal adhesions should be divided with scissors; the sectioncauses no haemorrhage. It is also easy to apply a forceps and carry outligation when necessary. Fig. 345 shows the crushing of a left thyroidpedicle after division of the right lateral ligament, and dissection of thetrachea. In this case the healthy left lobe has been left in its place. OPERATIONS ON THE NECK 209 PAKTIAL THYEOIDECTOMY. Enucleation of Intraglandular Cysts.—^Some cystic goitres are formed ofan agglomeration of cystic vesicles, enclosed in a kind of fibro-celluiar. Fig. 350.—Unilateral Exophthalmic Goitre: stage: Cutaneous incision.
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Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative
