Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1151.—Carcinoma of incision with axillary flap for cases of early disease in the center of the Fig. 1152.—Carcinoma of of Jennings, removing axillary skin, for cases with central disease of breast. THE BREAST 483 and upper arm. The preparation of the skin, and the handling of the tumorbefore and during the operation should be so gentle that no cancer-cells areforcibly dislodged and sent into the lymph-channels. This is one
Surgical treatment; a practical treatise on the therapy of surgical diseases for the use of practitioners and students of surgery . Fig. 1151.—Carcinoma of incision with axillary flap for cases of early disease in the center of the Fig. 1152.—Carcinoma of of Jennings, removing axillary skin, for cases with central disease of breast. THE BREAST 483 and upper arm. The preparation of the skin, and the handling of the tumorbefore and during the operation should be so gentle that no cancer-cells areforcibly dislodged and sent into the lymph-channels. This is one of the dan-gers of operation. AH manipulations should be governed accordingly. Thehand and forearm should be enveloped in towels, and held at a right angle tothe body or rested upon a table. It is well to have a protecting screenbetween the anesthetists apparatus and the field of operation. If diagnostic exposure of the tumor is to be made the incision should beginat the breast; otherwise it should begin at the arm. In the typical case,the incision should pass from the pectoralis insertion to the inner side of thebreast (Fig. 1153). This should be joined above the axilla by the outerarm of the incision, extending from the outer side of the b
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectsurgery, bookyear1920
