Surgical therapeutics and operative technique . e tumour, so as to expose the vascular pedicles relations of the inferior thyroid artery with the recurrent laryngealnerve are intimate, especially on the right side, where the nerve often passesbetween its branches; and tliis artery forms numerous sinuosities beforepenetrating from the perithyroid cellular capsule into the thyroid on the tumour elongates its vascular pedicles, and places them infull view (Figs. 332 to 340). Fourth Stage : Formation and Ligature op the Pedicles.—Thisstage of thyroidectomy varies great
Surgical therapeutics and operative technique . e tumour, so as to expose the vascular pedicles relations of the inferior thyroid artery with the recurrent laryngealnerve are intimate, especially on the right side, where the nerve often passesbetween its branches; and tliis artery forms numerous sinuosities beforepenetrating from the perithyroid cellular capsule into the thyroid on the tumour elongates its vascular pedicles, and places them infull view (Figs. 332 to 340). Fourth Stage : Formation and Ligature op the Pedicles.—Thisstage of thyroidectomy varies greatly, according to the localization of thetumour. Figs. 338, 339, and 340 show a lateral parenchymatous goitre, wliich hasbeen pedunculated by a single stroke of the ecraseur. Fig. 337 repre- OPERATIONS ON THE NECK 205 sents a unilateral goitre, at the moment following its luxation to the outsideof the wound. The lateral tracheo-thyroid ligament is distinguishable. Onapplying sufficiently energetic traction to one of those goitres, the pedicle.
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