Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. i 134.—Posterior Mediastinal of Fig. 1135.—Operation for Exposure of Thoracic method of raising a flap of skin and muscle, including the scapula. With thearm elevated, the scapula may be made to stand out at a right angle to the body. ribs next above and below this are then divided at the extreme inner andouter edges of the wound but not detached from their beds. The intercostalvessels are ligated and divided. Th


Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. i 134.—Posterior Mediastinal of Fig. 1135.—Operation for Exposure of Thoracic method of raising a flap of skin and muscle, including the scapula. With thearm elevated, the scapula may be made to stand out at a right angle to the body. ribs next above and below this are then divided at the extreme inner andouter edges of the wound but not detached from their beds. The intercostalvessels are ligated and divided. The nerves should be spared. An incision 462 SURGICAL TREATMENT is then carried across the middle of the wound through the periosteum in themiddle of the bed of the resected rib. This incision should go as far as thepleura but should not wound it. The pleura is then separated by blunt dis-section from the overlying structure. To the last incision are added twolateral incisions passing in line with the rib divisions, making an H. Oneflap is reflected upward, the other downward, being separated from thepleura which remains still intact. Each of the flaps contains a resected ribsegment. The un


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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920