. Manual of operative surgery. Fig. 408.—Jacksons Incision No. 2. Fig. 409.—Jacksons Incision No. 2. In about 16 per cent, of cases of breast cancer, diffusion of the disease andperilymphangitis cause obstruction of the lymphatics about the shoulder andlead to oedema of the arm. The consequent suffering is often atrocious andamputation has often been performed to give relief. Handleys operation oflymphangioplasty is of value in treating such a condition. Francis Stewarts Operation (Trans. Arm. Surg. Soc, XXXIII, 1915). Step I.—From a point on the edge of the sternum remote from the growthand o
. Manual of operative surgery. Fig. 408.—Jacksons Incision No. 2. Fig. 409.—Jacksons Incision No. 2. In about 16 per cent, of cases of breast cancer, diffusion of the disease andperilymphangitis cause obstruction of the lymphatics about the shoulder andlead to oedema of the arm. The consequent suffering is often atrocious andamputation has often been performed to give relief. Handleys operation oflymphangioplasty is of value in treating such a condition. Francis Stewarts Operation (Trans. Arm. Surg. Soc, XXXIII, 1915). Step I.—From a point on the edge of the sternum remote from the growthand on a line with the nipple make a curved transverse incision skirting theupper margin of the breast and ending on the posterior axillary line ABC (). Undermine the skin upwards to the clavicle and the head of the humerusand from the sternum to the posterior axillary fold. This gives good accessto the axilla. Step 2.—Separate the clavicular from the costal portion of the pectoralismajor and divide the tendon of the
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