The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . ; compressing the veinwith a finger at the upper part of the wound will cause it to collapse. Just below the omo-hyoid muscle the common carotid is much more acces-sible, and at this point it is not unfrequently ligatured. It is here coveredby the skin, the platysraa myoides, the superficial and deep fascitie, the sternalj)art of the sterno-cleido-mastoid, the sterno-hyoid, and sterno-thyroid muscles;it is obliquely crossed, from within outward, by the sterno-mastoid artery,likewise by the
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . ; compressing the veinwith a finger at the upper part of the wound will cause it to collapse. Just below the omo-hyoid muscle the common carotid is much more acces-sible, and at this point it is not unfrequently ligatured. It is here coveredby the skin, the platysraa myoides, the superficial and deep fascitie, the sternalj)art of the sterno-cleido-mastoid, the sterno-hyoid, and sterno-thyroid muscles;it is obliquely crossed, from within outward, by the sterno-mastoid artery,likewise by the superior and middle thyroid veins, and, lower down, by theanterior jugular; on its external side are the pneumogastric nerve andthe internal jugular vein; and on the inner side are the inferior thyroidartery and recurrent laryngeal nerve, which separate it from the trachea andthyroid gland; the descendens noni nerve lies on the sheath of the artery. To tie the common carotid below the omo-hyoid muscle, proceed thus ():—Place the patient on his back, with his head extended; make an Fig. Ligation of the left common carotid artery below the omo-hyoid muscle. (S4dillot.) incision three inches in length along the inner border of the sterno-mastoidmuscle, in the line above described, commencing on a level with the cricoidcartilage, and successively dividing the skin, superficial fascia, platysmamyoides, and deep fascia, so as to expose the inner border of the sterno-mastoid muscle; carefully avoid the sterno-mastoid artery and the middlethyroid vein; bend the head forward, draw the sterno-mastoid muscle out-ward, and the sterno-hyoid and sterno-thyroid muscles inward, by retractors; 292 INJURIES OF BLOODVESSELS. expose the anterior belly of the omo-hyoid muscle, and draw it upward;.divide the deep ttiscia, and expose the sheath of the vessels; open it directlyover the artery, carfully avoiding the descendens noni nerve, which runsalono- its tracheal side; press the pn
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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1881
