. Minor and operative surgery, including bandaging . dissected loose, the periosteum is separatedas far as possible, the rib is divided with bone-forceps attwo points, the fragment is grasped with forceps, and theattachments to the under surface of the rib are separatedwith an elevator. Care should be taken to avoid openingthe pleural cavity. Estlanders Operation.—This operation is* employed incases of empyema, and consists in resecting the portions 35 546 EXCISIONS OR RESECTIONS. of several adjoining ribs to allow the chest-wall to sinkinward and unite with the pulmonary pleura. A rectan-gula
. Minor and operative surgery, including bandaging . dissected loose, the periosteum is separatedas far as possible, the rib is divided with bone-forceps attwo points, the fragment is grasped with forceps, and theattachments to the under surface of the rib are separatedwith an elevator. Care should be taken to avoid openingthe pleural cavity. Estlanders Operation.—This operation is* employed incases of empyema, and consists in resecting the portions 35 546 EXCISIONS OR RESECTIONS. of several adjoining ribs to allow the chest-wall to sinkinward and unite with the pulmonary pleura. A rectan-gular or oval flap is marked out by an incision, corre-sponding to the portion of the ribs to be removed, includ-ing all of the tissues external to the ribs. The flap isdissected up, and portions of several ribs are divided withbone-forceps or a saw, and removed with forceps. If thecostal pleura is very thick, to expose the cavity so as topermit of free drainage and allow the chest-wall to sinkin, it may be cut away over a part of the area from which. Resection of the sternal end of the clavicle. the ribs have been resected; one to four inches of three tosix adjoining ribs may be removed. Resection of the Sternum.—This operation is per-formed by making a longitudinal incision over the portionof the bone to be removed; the periosteum is separated,and the diseased portion of the sternum is then carefullyfreed with an elevator and removed. Excision of the Scapula.—To excise this bone, anincision should be made along the whole length of thespine of the scapula, and from its posterior extremitytwo other incisions should be made, one running about an EXCISION OF THE HIP. 547 Fig, 458. inch or two above, and the other passing down the poste-rior border of the bone to its inferior angle (Fig. 458);the flaps thus made are loosened by separating the musclesattached to the outer surface of the bone. The attach-ments of the deltoid and trapezius muscles to the acromionand spine of the sc
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectbandagesandbandaging
