. Minor and operative surgery, including bandaging . Aneurism needle. A, opening sheath : B. passing ligature around thevessel; C, tying^the artery. Some authorities recommend the application of two liga-tures a short distance apart in the ligation of vessels intheir continuity, and a division of the vessel between that both ends may retract into the cellular sheath. Ligation of Special Arteries. Ligation of the Innominate Artery.—The innominateartery lies immediately behind the sterno-clavicular artic-ulation, and is in relation in front with the innominate 454 OPERATIONS. veins and p


. Minor and operative surgery, including bandaging . Aneurism needle. A, opening sheath : B. passing ligature around thevessel; C, tying^the artery. Some authorities recommend the application of two liga-tures a short distance apart in the ligation of vessels intheir continuity, and a division of the vessel between that both ends may retract into the cellular sheath. Ligation of Special Arteries. Ligation of the Innominate Artery.—The innominateartery lies immediately behind the sterno-clavicular artic-ulation, and is in relation in front with the innominate 454 OPERATIONS. veins and pneumogastric nerve, on the inner side with thetrachea, on the outer side and behind with the pleura. The incision is a V-shaped incision, each branch ofwhich is two and a half or three inches in length, one ofwhich lies over the anterior edge of the sterno-cleido-mastoid muscle and the other parallel to and a little abovethe clavicle (Fig. 342, A). The incisions are carried downto the superficial fascia and a flap is dissected up. If theanterior


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