A hand-book of surgery: with fifty illustrations . 108 SURGERY. the extensor proprius poUicis. The venae comites and anterior tibialnerve are to be avoided. On the instep the artery may be secured by making an incisionon the fibular side of the tendon of the extensor proprius pollicis. The posterior tibial may be readily tied near the middle ofthe leg, upon the inner side ; divide the skin, superficial fascia, cru-ral fascia, and someFig. 34. fibres of the soleus, and the leg being flex-ed, the triceps sursecan be pushed aside^jh^^ \.\ sufficiently to expose \! J Mil II ?????-? ? A the sheath
A hand-book of surgery: with fifty illustrations . 108 SURGERY. the extensor proprius poUicis. The venae comites and anterior tibialnerve are to be avoided. On the instep the artery may be secured by making an incisionon the fibular side of the tendon of the extensor proprius pollicis. The posterior tibial may be readily tied near the middle ofthe leg, upon the inner side ; divide the skin, superficial fascia, cru-ral fascia, and someFig. 34. fibres of the soleus, and the leg being flex-ed, the triceps sursecan be pushed aside^jh^^ \.\ sufficiently to expose \! J Mil II ?????-? ? A the sheath of the ves- sels; the artery is tobe carefully excludedfrom the veins and. nerve. At the ankle theoperation is semilunar incisionis made, posterior tothe internal malleolus,through the skin andsuperficial fascia, and a thick aponeurosis; this exposes the sheath of the and nerve are to be excluded. The VARICOSE ANEURISM. This is usually the result of a wound, and occurs most frequentlyin the elbow after bleeding. An opening remains both in the arteryand in the vein, and a cyst is formed with this double communication. The arterial blood en-Fig. 35. ters the vein, and pro-duces greater or lessdistension of it. Thisenlargement of thevein is recognised bya peculiar thrill, re-sembling the purr ofa cat: it may exist^ for some time with-out any inconvenience, and is to be removed by tying the arteryabove and below the sac, and oftentimes it is necessary to tie thevein. Aneurismal varix is another variety, occurring under the samecircumstances, at the bend of the arm. The vein and artery com-
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Keywords: ., bookcentury1800, bookdecade1850, bookpublishe, booksubjectsurgery
