. Operative surgery. the cricoid cartilage. Adistinction should be made between the fascial covering and the proper cap-sule of the thyroid body, otherwise great confusion will attend the isolation ofthe gland from its contiguous tissues. The atrophy of the tissues overlyingthe enlargement may be mistaken for the capsule of the thyroid body itself. The Preparation of the Patient.—The strict local aseptic measures areIjracticed. The bowels should be unloaded freely the day l^efore the opera-tion to obviate the need of defecation for the first few days usually employs only cocai


. Operative surgery. the cricoid cartilage. Adistinction should be made between the fascial covering and the proper cap-sule of the thyroid body, otherwise great confusion will attend the isolation ofthe gland from its contiguous tissues. The atrophy of the tissues overlyingthe enlargement may be mistaken for the capsule of the thyroid body itself. The Preparation of the Patient.—The strict local aseptic measures areIjracticed. The bowels should be unloaded freely the day l^efore the opera-tion to obviate the need of defecation for the first few days usually employs only cocain infiltration anaesthesia in this anaesthesia (if general ansesthesia be employed) is preferal)le inthis as in most other operations at this situation. The patient is placed onthe back, with the shoulders raised, and the neck extended and well exposed. The Operation of Partial Excision (Kocher).—Either a transverse orangular incision may be employed. If the tumor be small, movable,


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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900