Modern surgery, general and operative . A carotis. _^ M sternocleiio Fig. 811. -Isolation of the superior thyroid arteryand vein (Kocher). Fig. 812.—Ligation of the inferior thyroid artery(Kocher). nerve Hes and may be located. If the operation is being done under a localanesthetic adjacency to the nerve is readily determined, because if the nerveis pulled upon, or if it is pressed upon or touched by a blunt instrimient, thepatients voice becomes metaUic. A deliberate attempt is made to locate thenerve, and the patient is engaged in a conversation requiring answers while thesurgeon is investig
Modern surgery, general and operative . A carotis. _^ M sternocleiio Fig. 811. -Isolation of the superior thyroid arteryand vein (Kocher). Fig. 812.—Ligation of the inferior thyroid artery(Kocher). nerve Hes and may be located. If the operation is being done under a localanesthetic adjacency to the nerve is readily determined, because if the nerveis pulled upon, or if it is pressed upon or touched by a blunt instrimient, thepatients voice becomes metaUic. A deliberate attempt is made to locate thenerve, and the patient is engaged in a conversation requiring answers while thesurgeon is investigating. The lobe is lifted from its bed and dislocated from thewound and the inferior thyroid vessels are tied close to the border of the gland inorder to avoid the recurrent laryngeal nerve (Fig. 812). The vessels are tied and 1242 Diseases and Injuries of the Thyroid Gland cut across as were the superior thyroid vessels. The isthmus is next exposed,clamped, ligated, and cut across, every care being taken to prevent colloid frombeing squeezed i
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
