Operative surgery . MUSCULO-SPIRAL N %SUPERIOR PROFUNDA /[ BRANCH TO INNER mO OF TR CEP5 LONE HEAD OF TRICEPS TENDON OF LATISSIMUSDORSI AXILLARY A {3RD. PARI.)- MEDIAN N. CORACO-BRACHIALIS M. MUSCULO-CUTANEaUS N. AXILLARY V. ULNAR N. virpng^l ^Bl CIRCUMFLEX N. %SUBSCAPULAR A. LONB HEAD OF SCAPULAE SUBSCAPULAR SUBSCAPULAR N. Fig. 219.—Ligature of axillary and brachial arteries. Exposure of the profunda arteryand the various nerves associated with these vessels. 182 OPERATIVE SURGERY. don. The brachial artery may he liga
Operative surgery . MUSCULO-SPIRAL N %SUPERIOR PROFUNDA /[ BRANCH TO INNER mO OF TR CEP5 LONE HEAD OF TRICEPS TENDON OF LATISSIMUSDORSI AXILLARY A {3RD. PARI.)- MEDIAN N. CORACO-BRACHIALIS M. MUSCULO-CUTANEaUS N. AXILLARY V. ULNAR N. virpng^l ^Bl CIRCUMFLEX N. %SUBSCAPULAR A. LONB HEAD OF SCAPULAE SUBSCAPULAR SUBSCAPULAR N. Fig. 219.—Ligature of axillary and brachial arteries. Exposure of the profunda arteryand the various nerves associated with these vessels. 182 OPERATIVE SURGERY. don. The brachial artery may he ligatured at three situations—at its upper,middle, and lower thirds. The Operation^ Upper Third.—Abduct the arm and rotate it an incision about three inches in length along the inner border of. Pig. 220.—TransAerse section of right arm at axilla. A. Cephalic vein. B. Pectoralis major. C. Biceps tendon. D. Musculo-cutaneous Internal cutaneous nerve. F. Median nerve. G. Basilic vein. H. Brachialartery. /. Ulnar nerve. J. Brachial vein. K. Musculo-spiral nerve. the coraco-brachialis muscle. The artery, being very superficial, is quicklyreached (Fig. 320). The median nerve is drawn to the outer side, and theulnar nerve and basilic vein to the inner side; separate the artery from thevein, and pass the needle from within outward. The Operation, Middle Third.—Place the arm as before. Make an in-cision three inches in length along the inner side of the biceps muscle (, a). The median nerve is found lying upon and a little to the inner sideof the vessel (Fig. 221). Push it aside, isolate the artery from the venaecomites, and pass the needle in the same direction as before. The Operation, Lower Third (Fig. 222, f).—Abduct the arm and supinatethe forearm. Compress
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