. Minor and operative surgery, including bandaging . Resection of a metacarpal bone. Excision of a metacarpophalangealjoint. end by a short transverse incision. The tissues overlyingthe rib are then dissected loose, the periosteum is separatedas far as possible, the rib is divided with bone-forceps attwo points, the fragment is grasped with forceps, and theattachments to the under surface of the rib are separatedwith an elevator. Care should be taken to avoid openingthe pleural cavity. Estlanders Operation.—This operation is* employed incases of empyema, and consists in resecting the portions
. Minor and operative surgery, including bandaging . Resection of a metacarpal bone. Excision of a metacarpophalangealjoint. end by a short transverse incision. The tissues overlyingthe rib are then dissected loose, the periosteum is separatedas far as possible, the rib is divided with bone-forceps attwo points, the fragment is grasped with forceps, and theattachments to the under surface of the rib are separatedwith an elevator. Care should be taken to avoid openingthe pleural cavity. Estlanders Operation.—This operation is* employed incases of empyema, and consists in resecting the portions 35 546 EXCISIONS OR RESECTIONS. of several adjoining ribs to allow the chest-wall to sinkinward and unite with the pulmonary pleura. A rectan-gular or oval flap is marked out by an incision, corre-sponding to the portion of the ribs to be removed, includ-ing all of the tissues external to the ribs. The flap isdissected up, and portions of several ribs are divided withbone-forceps or a saw, and removed with forceps. If thecostal pleura is very thi
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