. Modern surgery, general and operative. Fig. 1037-1039.—The earl}- steps of an Fig. 1040.—Amputation of the thigh by trans-oblique circular amputation (Kocher). fixion (Gross). side of the extremity than upon the other, the transverse circular incision sac-rifices more of the limb than is necessary and the obhque circular is pref-98 1^54 Amputations erable. An objection lo the transverse circular incision is that the cicatrixlies directly at the end of the stump and is liable to cause pain when subjectedto pressure. Flush Circular Method.—The skin and superficial fascia are divided


. Modern surgery, general and operative. Fig. 1037-1039.—The earl}- steps of an Fig. 1040.—Amputation of the thigh by trans-oblique circular amputation (Kocher). fixion (Gross). side of the extremity than upon the other, the transverse circular incision sac-rifices more of the limb than is necessary and the obhque circular is pref-98 1^54 Amputations erable. An objection lo the transverse circular incision is that the cicatrixlies directly at the end of the stump and is liable to cause pain when subjectedto pressure. Flush Circular Method.—The skin and superficial fascia are divided asin an ordinary circular amputation. The muscles are divided transverselyat the level of the retracted skin. The bone is sawed through at thelevel of the retracted The nerves are drawn down and divided and thevessels are ligated. The wound remains open, dressings are applied andtraction on the skin is made by an apparatus like that of Gci ^on Buck formaking extension in hip-joint fracture. The soft parts are thus drawn


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