. Modern surgery, general and operative. eincision reaching to the deep fascia. All bleeding points are ligated and the edgesof the incision are stitched together. This operation is so often followed by per-sistent hard edema that it is now seldom performed. A recent operation is toplace the internal saphenous beneath the deep fascia. Delbet implants the saphe-nous into the femoral 10 cm. below its normal point of junction. The valvulararrangement of the femoral restores normal tension in the saphenous. Fergus-son ties the saphenous vein near the femoral and removes a section from it. Thismake


. Modern surgery, general and operative. eincision reaching to the deep fascia. All bleeding points are ligated and the edgesof the incision are stitched together. This operation is so often followed by per-sistent hard edema that it is now seldom performed. A recent operation is toplace the internal saphenous beneath the deep fascia. Delbet implants the saphe-nous into the femoral 10 cm. below its normal point of junction. The valvulararrangement of the femoral restores normal tension in the saphenous. Fergus-son ties the saphenous vein near the femoral and removes a section from it. Thismakes the varices clearly evident. A semilunar incision is made to surround thevarices, which incision reaches to the deep fascia. The flap is raised and dis-sected up, the vessels are tied, and the flap is sutured in place. Keller removesa vein by inversion (N. Y. Med. Jour., Aug. 19, 1905). Phelps advises^ multi-ple ligation. Katzenstein places the vein under the sartorius muscle. Sir Wm. 528 Diseases and Injuries of the Heart and Vessels. IlG. 261.—Incisionsfor venesection (Ber-nard and Huette).


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