. Medical and surgical therapy . Fig. 29.—The segment of Vem,the artery which protrudes sate. beyond the canula is splitwith thebistoand Dehelly.) the artery into thewhich is seen to pul-while the assistant with the bistoury.^GuXt ^^cps the two limbs in Con- tact, and the operator keepsthe vessels moist by sprink-ling them with warm artificial serum. Indirect transfusion by means of tubes sterilised inparaffin (Carrels method modified by Berard).—Whenthe artery has been completely isolated in the radialgroove a lateral incision, not exceeding half the circum-. Fig. 30.—The split artery is turn
. Medical and surgical therapy . Fig. 29.—The segment of Vem,the artery which protrudes sate. beyond the canula is splitwith thebistoand Dehelly.) the artery into thewhich is seen to pul-while the assistant with the bistoury.^GuXt ^^cps the two limbs in Con- tact, and the operator keepsthe vessels moist by sprink-ling them with warm artificial serum. Indirect transfusion by means of tubes sterilised inparaffin (Carrels method modified by Berard).—Whenthe artery has been completely isolated in the radialgroove a lateral incision, not exceeding half the circum-. Fig. 30.—The split artery is turned back onthe canula. (Guillot and Dehelly.) THERArEUTWAL CONSIDERATIONS 55 ference of the vessel, is made with very fine scissors, and into this aCarrels tube is in-troduced. Carrelstubes are slendertubes of silver imm. in thickness,bent in the formof an elongated S,and ending insmall bulbous en-largements meantto retain canulae are sterilised in a paraffin mixture, and are kept in glass tubes like those for catgut (Daufresne). The tube is grasped by special forceps and inserted into the opening in the artery, a ligature below the bulbous enlargement fixing it in place. The artery is now ready (fig. 32). The vein of the recipient is next prepared, the arm of the donor is then placed in such a way that the end of the canula is touching the segment of vein
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
