Lectures on the American eclectic system of surgery . For the carpo-metacarpal amputation op the thumb, begin anincision on the back of the hand, a little above the upper extrem-ity of the metacarpal bone of the thumb, continuing it down Fig. between the thumb and fore-finger. Introduce the point of anarrow bistoury or scalpel at the lower extremity of this incision, 708 AMPUTATIONS OF THE LOWER EXTREMITY. passing it up under the metacarpal bone, so as to bring the pointout where the first incision began (see Fig. 105), with the edgelooking toward the end of the thumb. Then cut outward a


Lectures on the American eclectic system of surgery . For the carpo-metacarpal amputation op the thumb, begin anincision on the back of the hand, a little above the upper extrem-ity of the metacarpal bone of the thumb, continuing it down Fig. between the thumb and fore-finger. Introduce the point of anarrow bistoury or scalpel at the lower extremity of this incision, 708 AMPUTATIONS OF THE LOWER EXTREMITY. passing it up under the metacarpal bone, so as to bring the pointout where the first incision began (see Fig. 105), with the edgelooking toward the end of the thumb. Then cut outward anddownward, so as to make a good flap from the palmar surface tocover the part after the bone is removed. The bone can be readily-separated from the trapezium and wholly removed. To arresthemorrhage, it will generally be necessary to take up one ormoresmall arteries. Secure the flap in place by adhesive straps,apply your lint and bandage, and support the hand in a sling. LECTURE LV. AMPUTATIONS OF THE LOWER EXTREMITY. Of the Thigh. All necessary arrangements being made, your instruments athand, and your assistants ready with proper instructions, thepatient is placed in a convenient position on his bed, or a tablecovered with folded blankets


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Keywords: ., bookcentury1800, bookdecade1860, booksubjectgeneralsurgery, booky