. Manual of operative surgery. Fig. 424.—Segment of the 6th rib has been excised in posterior axillary line. Retention offluid when patient is erect. (Chevrier, La Pr. Med., Jan. 9, 1919.) Step 2.—^Leaving the needle in place make an incision over the rib immedi-ately above the puncture, the patient being in the lateral decubitus lying on 304 OPERATIONS ON THE. CHEST the healthy side. The incision must begin at the outer border of the spinalmass of muscles and run outwards j)ara]lel to the rib. Incise the latissimus. Fig. 425.—Diagram showing retention of fluid when opening is made in posterio
. Manual of operative surgery. Fig. 424.—Segment of the 6th rib has been excised in posterior axillary line. Retention offluid when patient is erect. (Chevrier, La Pr. Med., Jan. 9, 1919.) Step 2.—^Leaving the needle in place make an incision over the rib immedi-ately above the puncture, the patient being in the lateral decubitus lying on 304 OPERATIONS ON THE. CHEST the healthy side. The incision must begin at the outer border of the spinalmass of muscles and run outwards j)ara]lel to the rib. Incise the latissimus. Fig. 425.—Diagram showing retention of fluid when opening is made in posterior axillaryline or in scapular line. No retention when opening is at the bottom of the vertebro-costalgutter. {Chevrier, La Pr. Med., Jan. 9, 1919.) dorsi and sometimes the serratus posticus inferior, over the rib. Expose theexternal fibres of the ilio-costal muscle at the median end of the wound, and r ? -^^ y.
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