Surgical therapeutics and operative technique . Fig. 365.—Tracheotomy in the Adult: Introductiok of the Cannula on theExtremity of the Index-Finger. Second Stage.—Application of a six-toothed hooked forceps on eachside, which should grasp all pretracheal tissues with the integument. Third Stage.—The deep parts of the wound are then sponged with acompress, and the trachea is exposed by the procedure of divulsion. Itsringed surface is recognized by the left index-finger, and incised for a lengthof 15 to 20 millimetres. The lips of the tracheal wounds are immediatelyseized with two hooked forceps
Surgical therapeutics and operative technique . Fig. 365.—Tracheotomy in the Adult: Introductiok of the Cannula on theExtremity of the Index-Finger. Second Stage.—Application of a six-toothed hooked forceps on eachside, which should grasp all pretracheal tissues with the integument. Third Stage.—The deep parts of the wound are then sponged with acompress, and the trachea is exposed by the procedure of divulsion. Itsringed surface is recognized by the left index-finger, and incised for a lengthof 15 to 20 millimetres. The lips of the tracheal wounds are immediatelyseized with two hooked forceps. Respiration is established through thewound without the necessity of introducing a cannula. OPERATIONS ON THE NECK 227
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