. Modern surgery, general and operative. Fig. 8gi.—Exposure of veins of lower endbefore ligation (Kocher). Fig. 892.—Dislocation of the goiter towardthe right (Kocher). a general anesthetic is contra-indicated. If ether is used, after unconscious-ness is obtained the ether is continued by intratracheal insufflation. The patientis placed recumbent, with the shoulders a little raised and the neck laid upon asand-pillow so as to throw the head back as far as is consistent with comfort-able respiration. An oblique incision, a horseshoe-shaped incision, or a transverse collar in-cision (Fig. 889) m


. Modern surgery, general and operative. Fig. 8gi.—Exposure of veins of lower endbefore ligation (Kocher). Fig. 892.—Dislocation of the goiter towardthe right (Kocher). a general anesthetic is contra-indicated. If ether is used, after unconscious-ness is obtained the ether is continued by intratracheal insufflation. The patientis placed recumbent, with the shoulders a little raised and the neck laid upon asand-pillow so as to throw the head back as far as is consistent with comfort-able respiration. An oblique incision, a horseshoe-shaped incision, or a transverse collar in-cision (Fig. 889) may be made. I usually employ an incision shaped like anincomplete horseshoe, the convexity being downward. Layer by layer the


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