Modern surgery, general and operative . Tiformis muscle. It rests upon the gluteus minimus, di^-idesinto three branches, and is covered by the gluteus maximus muscle. Thesuperior gluteal Hes inferior to the arter\- (Fig. 248). Ligation.—The patient should be prone. The surgeon stands to the outerside. The incision corresponds to a liine drawn from the posterior superioriliac spine to the upper border of the great trochanter (Fig. 249). Di\ide theskin, fascia, gluteus maximus muscle, and the fascia over the gluteus mediusmuscle, and retract the gluteus medius upward. Feel for the great ^
Modern surgery, general and operative . Tiformis muscle. It rests upon the gluteus minimus, di^-idesinto three branches, and is covered by the gluteus maximus muscle. Thesuperior gluteal Hes inferior to the arter\- (Fig. 248). Ligation.—The patient should be prone. The surgeon stands to the outerside. The incision corresponds to a liine drawn from the posterior superioriliac spine to the upper border of the great trochanter (Fig. 249). Di\ide theskin, fascia, gluteus maximus muscle, and the fascia over the gluteus mediusmuscle, and retract the gluteus medius upward. Feel for the great ^sacro-sciatic foramen, and at this point the artery is found above the p^Tiformis. Fig. 249.—Position and direction of the superficial incis-ions wMch must be made Ln order to secure the gluteal arteryand the sciatic and pudic arteries: A, Posterior superior iliacspine; B. great trochanter; C, tuberosity of the ischium; D,anterior superior ihac spine; A~B, iliotrochanteric line,dividedinto thirds. This line corresponds in direction with the fibersof the gluteus maximus muscle. The incision to reach thegluteal arter\- is indicated by the darker portion of the center is at the junction of the upper and middle thirds ofthe iliotrochanteric Une. and exactly corresponds with_ thepoint of emergence of the gluteal arterj- from the great sciaticnotch. A-C, iho-ischiatic Une. The incision to reach thesciatic arten,- and internal pudic is indicated by the lower darkline. It is also to be made in the direction of the fibers of thegluteus maximus muscle. The center of the wound corre-sponds to the junction of the lower with the middle third ofthe iho-ischiatic line (
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
