. The principles and practice of modern surgery . divided by cautious touches with the knife,which should be held with its flat surface towards the artery; and this di-vision of the fascia should be made immediately over the artery, the situa-tion of which is to be carefully ascertained with the finger. Then abouthalf an inch of the sheath is to be opened in the same manner,—avoiding joint, and a portion of the glenoid cavity and adjacent bone had been removed with patient is doing vi^ell.—March 2d, ] 847. * For every further information concerning amputations, and excision of joints, t
. The principles and practice of modern surgery . divided by cautious touches with the knife,which should be held with its flat surface towards the artery; and this di-vision of the fascia should be made immediately over the artery, the situa-tion of which is to be carefully ascertained with the finger. Then abouthalf an inch of the sheath is to be opened in the same manner,—avoiding joint, and a portion of the glenoid cavity and adjacent bone had been removed with patient is doing vi^ell.—March 2d, ] 847. * For every further information concerning amputations, and excision of joints, theauthor must refer his readers to Mr. Listons frequently quoted Practical Surgery, to Practical Surgery, and to Malgaignes Manuel de Medecine Operatoire,translated by Mr. Brittan. CAROTID.—LINGUAL. 549 the descendens noni nerve, which ramifies upon it. It should be openedrather to the inner side of the artery, so that the jugular vein may not beinterfered with. Then an aneurism needle, armed with a single ligature, Fig. is to be carried round the vessel. It is to be passed from the outer side,and to be kept close to the vessel, within its sheath. When its point ap-pears on the inner side, the surgeon seizes the ligature with forceps, andwithdraws the needle,—ascertains that the nervous vagus is not includedin the ligature,—and then ties it tightly in the double knot represented atpage 294. One end of the ligature may then be cut off close to the knot,and the other be left hanging out of the wound, which is to be closed withplaster when bleeding has ceased. The patient must be kept at perfectrest in bed till the ligature separates. This artery may also be tied above the omo-hyoideus, by making anincision through the skin and platysma three inches in length, and termi-nating at the level of the cricoid cartilage. The fascia should next bedivided on a director, in the same manner as the layers over a hernial sac(p. 441). The surgeon then separates th
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