. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . rger flaps may be cut antero-posteriorly, laterally, or obliquely ;they may be made by transfixing the limb and cutting outward,or may be shaped from without inward, or one may be made bytransfixion and the other from without. They may include the wholethickness of tissue down to the bone, or merely the skin and super-ficial fascia, or they ma
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . rger flaps may be cut antero-posteriorly, laterally, or obliquely ;they may be made by transfixing the limb and cutting outward,or may be shaped from without inward, or one may be made bytransfixion and the other from without. They may include the wholethickness of tissue down to the bone, or merely the skin and super-ficial fascia, or they may embrace the superficial muscles, whilethe deeper layer is divided circularly (Sedillot). Finally, theymay have a curved outline, or they may be rectangular. In practicing the ordinary double-flap amputation, the surgeonstands as for the circular amputation, and grasping and slightlylifting the tissue which is to form the flap, enters the point of MODES OF AMPUTATION. 777 the long knife at the side nearest himself ; then pushing it acrossand around the bone with a decided but cautious motion, andslightly raising the handle when the bone is passed, he brings thepoint out diametrically opposite its place of entrance. Fig. 424. Fig. This cut represents the surgeon as standing on the inner side ; it is, however, moreconveaient on the whole that he should stand on the outer side. The knife should becarried along close to the hone for an inch or more before it is made to cut the Haynes Walton says that it is better to make the lower flap first, since thus, theinteguments being relaxed, it is easier to shape out the upper flap accurately. Holding the blade in the axis of the limb, he then shapes his flapby cutting at first downward with a rapid sawing motion, andthen obliquely forward. Turning up the flap, he re-enters theknife at the same point as before, carries it on the other side of thebone, brings it out with the same precautions as at first, and cutshis second f
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