A hand-book of surgery: with fifty illustrations . 116 SURGERY. directed slightly toward the shoulder, the end of the bone will befound in a conical cavity, and can be well covered by the musclesand skin. The flap operation is sometimes performed. The arm being trans-fixed, the anterior flap is made first; the vessels are divided whenthe posterior flap is cut. Amputation at the elbow is performed by making a single flapfrom the muscles and skin in front of the joint. The head of the radius is disarticulated first:let the olecranon remain. the ulna is then to be sawed, so as to AMPUTATION OF TH
A hand-book of surgery: with fifty illustrations . 116 SURGERY. directed slightly toward the shoulder, the end of the bone will befound in a conical cavity, and can be well covered by the musclesand skin. The flap operation is sometimes performed. The arm being trans-fixed, the anterior flap is made first; the vessels are divided whenthe posterior flap is cut. Amputation at the elbow is performed by making a single flapfrom the muscles and skin in front of the joint. The head of the radius is disarticulated first:let the olecranon remain. the ulna is then to be sawed, so as to AMPUTATION OF THE FOREARM. The tourniquet is applied to the brachial artery as in other opera-tions upon this extremity. Two flaps are formed, one on the dorsal, the other on the palmar aspect. These are best Eig. 44. and. made by transfixingcutting outwards. The amputation shouldbe performed as near thewrist as circumstances willadmit of; although belowthe middle it is not easy toobtain sufficiency of , the general rule is, toremove as little as possiblefrom the organs of prehen-sion ; and operations areattended with less risk tolife the farther they areremoved from the trunk. AMPUTATION AT THEWRIST. The disarticulation of theradio-carpal joint is readilyefiected by commencing at the styloid process of the radius. A dorsaland palmar flap is made of the skin. The pisiform bone is to beallowed to remain. AMPUTATION OF THE FINGERS. The hemorrhage may be controlled by an assistants grasping thewrist tightly. The finger may be amputated at a joint or in themiddle of a phalanx, though it is important to save as much aspossible. The operation may be circular, or with a flap, whichshould be made from the palmar aspect of the finger. ENCEPHALOID. 117 C A N C E K. Malignant diseases change the original
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Keywords: ., bookcentury1800, bookdecade1850, bookpublishe, booksubjectsurgery
