Modern surgery, general and operative . urve to the malleolus and^ inch posterior to its margin (Fig. 245). Cut down to the annular liga-ment, incise the ligament, and find the artery and venae comites. Clear thevessel and pass the needle from behind forward (to avoid the nerve, which ishere posterior and external). Do not make the preliminary incision nearerthe malleolus than i inch, as the sheath of the tibialis posticus muscle willthen surely be opened. In closing the wound, suture the ligament by buriedsutures of catgut before closing the superficial parts (PL 6, Fig. 6). Ligation in the M
Modern surgery, general and operative . urve to the malleolus and^ inch posterior to its margin (Fig. 245). Cut down to the annular liga-ment, incise the ligament, and find the artery and venae comites. Clear thevessel and pass the needle from behind forward (to avoid the nerve, which ishere posterior and external). Do not make the preliminary incision nearerthe malleolus than i inch, as the sheath of the tibialis posticus muscle willthen surely be opened. In closing the wound, suture the ligament by buriedsutures of catgut before closing the superficial parts (PL 6, Fig. 6). Ligation in the Middle of the Leg.—In this operation the patient is placedin the same position as for the ligation back of the malleolus. Feel for theinner border of the tibia, and make an incision 4 inches long i inch behindthe osseous border, parallel with it, and extending through skin and super-ficial and deep fascia (Fig. 245). Draw the gastrocnemius muscle the soleus muscle, but not the fascia beneath the soleus; cut this fascia,.
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
