Operative surgery . re-sponds to the region of the sixth intercostal space (Fig. 12G3). Towardthis cul-de-sac (a) are the efforts of the operator directed in aspiration andin drainage of the pericardium. The distended pericardium extendsabove to the first space, below to the seventh cartilage, to the right fromtwo to three centimetres (eight tenths to one and two tenths inches)beyond the edge of the sternum, and to the left a little beyond the nor-mal line. At the interpleural space the pericardium can be entered with-out involvement of the pleura. This space corresponds to the lowertriangular
Operative surgery . re-sponds to the region of the sixth intercostal space (Fig. 12G3). Towardthis cul-de-sac (a) are the efforts of the operator directed in aspiration andin drainage of the pericardium. The distended pericardium extendsabove to the first space, below to the seventh cartilage, to the right fromtwo to three centimetres (eight tenths to one and two tenths inches)beyond the edge of the sternum, and to the left a little beyond the nor-mal line. At the interpleural space the pericardium can be entered with-out involvement of the pleura. This space corresponds to the lowertriangular portion of the anterior mediastinum, and is bounded on either OPERATIONS ()X IllK TIKJltAX. 1055 sido i)V the respective anterior ])l(iiral rellections, and below by the dia-phragm (Fig. 1264). Tiic exact location and size of this .space vary. Kight pleural a left pleurisy with eifusiou, carries the space to the right of its nor- mal position, and vice versa. Adhe-sions of both pleune increase the size. Fig. 12G4.—Composite normal interpleuralspace of Voinitch-Sianojentsky. a. Re-sultant line of greatest safety, b. Me-dian line. 5, 6, 7. Fifth, sixth, andseventh costal cartilages.
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
