Operative surgery . ns of the sterno-mastoids, bothsterno-thyroid and sterno-hyoid muscles; resect subperiosteally a half inchof the inner ends of the right clavicle and first rib; raise up the releasedborder of the sternum sufficiently to permit of the separation of the peri-osteum from the upper half of the posterior surface of the manubrium;divide transversely the manubrium just below the lower border of the firstrib with a Gigli-Haertel saw; separate periosteally the left clavicle, theleft first rib from the sternum, remove the bone fragments thus formedand incise the posterior sternal per


Operative surgery . ns of the sterno-mastoids, bothsterno-thyroid and sterno-hyoid muscles; resect subperiosteally a half inchof the inner ends of the right clavicle and first rib; raise up the releasedborder of the sternum sufficiently to permit of the separation of the peri-osteum from the upper half of the posterior surface of the manubrium;divide transversely the manubrium just below the lower border of the firstrib with a Gigli-Haertel saw; separate periosteally the left clavicle, theleft first rib from the sternum, remove the bone fragments thus formedand incise the posterior sternal periosteum in the median line, exposing * Deutsche med. Wochenschrift, 1885, 40. 162 OPERATIVE SURGERY. thereby the substernal structures; ligature the small veins, and depress andpull aside cautiously the larger ones in such a manner as to suitably exposethe innominate for tying. No effort is made to return and secure in place the separated almost certain failure to unite attended with the danger of infection.


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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900