. Manual of operative surgery. r the internal or the posterior border of the scapula be-tween the serratus magnus and subscapular muscles, which could not be wellreached from the axilla can be drawn out through the neck. 276 OPERATIONS ON THE BREAST Step 13.—Review the whole wound. Unite the divided omohyoid by a cat-gut suture. Close the wound in the neck. The edges of the chest wound areapproximated by a buried purse-string suture of strong silk. Of the triangularflap of skin (A B C, Fig. 398) only the base is included in this suture. Therest of the flap is used as a lining for the fornix of
. Manual of operative surgery. r the internal or the posterior border of the scapula be-tween the serratus magnus and subscapular muscles, which could not be wellreached from the axilla can be drawn out through the neck. 276 OPERATIONS ON THE BREAST Step 13.—Review the whole wound. Unite the divided omohyoid by a cat-gut suture. Close the wound in the neck. The edges of the chest wound areapproximated by a buried purse-string suture of strong silk. Of the triangularflap of skin (A B C, Fig. 398) only the base is included in this suture. Therest of the flap is used as a lining for the fornix of the axilla. The axilla is neverdrained. The open wound remaining on the chest is immediately covered withThierschs skin-grafts. ?Many surgeons, the author included, have devised almost identical opera-tions for removal of the breast and have found such satisfactory. Kochers description of the operation is so excellent that it will be used as thebasis of the following paragraphs. To Willy Meyer, however, belongs the credit.
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