Plastic surgery; its principles and practice . Fig. 128. Fig. 129. Fig. —Friedels operation for varicose veins with extensive scar tissue involvement(Binnie). The long saphenous vein is ligated and divided high up on the thigh. Thespiral incision, the loops of which may be quite close or fairly far apart, extends from theankle to just above the knee and penetrates down to the deep fascia. All bleeding vesselsare ligated. Where an ulcer exists the spirals should surround the leg above and below it,and in addition the spirals should be joined by two vertical incisions to isolate the
Plastic surgery; its principles and practice . Fig. 128. Fig. 129. Fig. —Friedels operation for varicose veins with extensive scar tissue involvement(Binnie). The long saphenous vein is ligated and divided high up on the thigh. Thespiral incision, the loops of which may be quite close or fairly far apart, extends from theankle to just above the knee and penetrates down to the deep fascia. All bleeding vesselsare ligated. Where an ulcer exists the spirals should surround the leg above and below it,and in addition the spirals should be joined by two vertical incisions to isolate the whole length of the wound should be packed and allowed to heal by granulation, carebeing taken to destroy the superficial granulations so that the epithelium will finally covera spiral gutter. Fig. 129.—The appearance of the leg after healing is complete. 2. Circular or spiral incisions, encircling the leg down to the deepfascia, with division and ligature of all vessels, without closure of theskin. The edges are kept apart with packin
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgeryplastic, booky
