The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . inunder the breast, and the upperincision completes its detachment,except where the lym-phatic vessels, pass-ing along the pecto-ral fold from thebreast to the arm-pit, form a sort of apedicle. The bleed-ing vessels are securedas they are cut, andthe pectoral wound iscovered with a towelwrung out of corros-ive-sublimate lotion,to remaiii under its protection during the removal of the axillary incision is extended well up the arm into the axilla, and the skin is


The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . inunder the breast, and the upperincision completes its detachment,except where the lym-phatic vessels, pass-ing along the pecto-ral fold from thebreast to the arm-pit, form a sort of apedicle. The bleed-ing vessels are securedas they are cut, andthe pectoral wound iscovered with a towelwrung out of corros-ive-sublimate lotion,to remaiii under its protection during the removal of the axillary incision is extended well up the arm into the axilla, and the skin is dis-sected up for about an inch to each side of the cut. The fascia is dividedwhere the incision can be made boldly upon the edge of the pectoral muscleanteriorly, and the latissimus dorsi posteriorly. Proceeding from this latterincision, the loose connective tissue is divided by blunt dissection with athumb-forceps and the handle of the scalpel, until the axillary vein isexposed to view. With this the most important step of the operation isaccomplished. Seeing the vein will prevent its accidental injury, and from. Fig. 100.—Eeraoval of axillary contents. The surgeon holdini;;the detached breast serving as a handle. 112 RULES OF ASEPTIC AND ANTISEPTIC SURGERY. this on, in most cases, dissection will be directed mu ay from instead of towardthe vein. The loose fat can be easily detached from all its lateral adhesions.


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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1888