. Operative surgery, for students and practitioners . he joint being thus widely open, the upper end of the humerusis dragged outward away from the glenoid cavity, and with a longknife the soft parts, attached to its inner aspect, are cut away fromthe bone, the edge of the knife being held close against the surfaceof the bone, in order to avoid injuring the brachial vessels, which runparallel with and close to the inner surface of the humerus. Afterthe soft parts have been thus separated from the inner aspect of thehumerus to a point about one inch below the anterior fold of the axilla,the edg
. Operative surgery, for students and practitioners . he joint being thus widely open, the upper end of the humerusis dragged outward away from the glenoid cavity, and with a longknife the soft parts, attached to its inner aspect, are cut away fromthe bone, the edge of the knife being held close against the surfaceof the bone, in order to avoid injuring the brachial vessels, which runparallel with and close to the inner surface of the humerus. Afterthe soft parts have been thus separated from the inner aspect of thehumerus to a point about one inch below the anterior fold of the axilla,the edge of the knife is turned inward, and with a final stroke a shortinner flap is cut, dividing the vessels at the same time. Just beforethis final cut, which divides the vessels, is made, an assistant graspsthe mass of soft parts, which includes the brachial vessels, and com-presses them until the operator can secure the ends of the severedartery and accompanying veins; these are then ligated and the nervesdrawn down and cut short. 540 UPPER joinf;^;2!;^!* ::sz°;nliez- * 1ztvot resect,on ot eib- AMPUTATIONS, RESECTIONS, ETC. 541 The wound is closed with interrupted catgut sutures, a drainagetube which reaches to the glenoid cavity being left protruding throughthe posterior part of the wound.
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Keywords: ., bookcentury1900, bookdecade1900, bookidoperativesur, bookyear1906
