Surgical therapeutics and operative technique . Fig. 350.—Unilateral Exophthalmic Goitre: stage: Cutaneous Fig. 351.—Unilateral Exophthalmic Goitre: Operation,Fourth stage: Crusliing of the pedicle. pocket which separates them from the tissues of the healthy gland. Inthese cases there is a permeable intrathyroid space into which a fingerreadily penetrates. This stage is then identical with that in which the VOL. II. 14 210 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE index-finger is passed into the perithyroid cellular pouch in a case of paren-chymatous goitre. Figs
Surgical therapeutics and operative technique . Fig. 350.—Unilateral Exophthalmic Goitre: stage: Cutaneous Fig. 351.—Unilateral Exophthalmic Goitre: Operation,Fourth stage: Crusliing of the pedicle. pocket which separates them from the tissues of the healthy gland. Inthese cases there is a permeable intrathyroid space into which a fingerreadily penetrates. This stage is then identical with that in which the VOL. II. 14 210 SURGICAL THERAPEUTICS AND OPERATIVE TECHNIQUE index-finger is passed into the perithyroid cellular pouch in a case of paren-chymatous goitre. Figs. 346 to 349 represent the intraglandular enucleationof these cystic masses. Operation—First Stage.—Horizontal cutaneous incision. Second Stage.—^Exposure of the thyroid body and incision of the capsuleproper. Third Stage.—-Enucleation of the intraglandular cystic groups, andhsemostasis of the arterioles engaged. Fourth Stage.—-Verification of the field of operation, and antiseptic tam-poning of the thyroid space. Fifth Stage.—-Reunion of the wound. Where the thyroid cavity yields but a gradual oozing, the skin is
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