. Modern surgery, general and operative. s of the Thyroid Gland). If thetumor is large, drain for twenty-four hours; otherwise, do not drain. Enucleation is a very successful operation if performed upon properlyselected cases, and can be performed rapidly, but the arrest of bleeding isoften tedious and troublesome. Operations on the Thyroid Gland 1383 Extracapsular Extirpation.—This term means removal of the entire gland[complete thyroidectomy) or a portion of the gland {partial thyroidectomy) withthe glandular capsule, the operation being an extracapsular procedure. Usu-ally but one lobe is e
. Modern surgery, general and operative. s of the Thyroid Gland). If thetumor is large, drain for twenty-four hours; otherwise, do not drain. Enucleation is a very successful operation if performed upon properlyselected cases, and can be performed rapidly, but the arrest of bleeding isoften tedious and troublesome. Operations on the Thyroid Gland 1383 Extracapsular Extirpation.—This term means removal of the entire gland[complete thyroidectomy) or a portion of the gland {partial thyroidectomy) withthe glandular capsule, the operation being an extracapsular procedure. Usu-ally but one lobe is extirpated {lobectomy), or one lobe, the isthmus, and a por-tion of the other lobe. This method enables the operator to tie the chiefvessels before he cuts them; as his vision is not abscured by bleeding, he canavoid cutting the glandular capsule (which would provoke copious bleeding),and he keeps a safe distance away from the recurrent laryngeal nerve. If the patient suffers from grave respiratory trouble with myocardial disease, J^=^.
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