The practice of surgery . Fig. 365.—Grants operation for cancer of lip—step Fig. 366.—Grants operation for cancer of lip—step 4. ning, all the parts I have named may be freely and rapidly removed,peeling from below upward, avoiding possible infection by handling themass as little as possible, minimizing hemorrhage by controlling quickly 554 THE PACE AND NECK all severed vessels, and obviating shock b}- the application of the pneu-matic suit. As 1 have insisted previously in discussing the removal ofcancer, we must not be goverend by considerations of anatomy. Theloss of the sternomastoid a
The practice of surgery . Fig. 365.—Grants operation for cancer of lip—step Fig. 366.—Grants operation for cancer of lip—step 4. ning, all the parts I have named may be freely and rapidly removed,peeling from below upward, avoiding possible infection by handling themass as little as possible, minimizing hemorrhage by controlling quickly 554 THE PACE AND NECK all severed vessels, and obviating shock b}- the application of the pneu-matic suit. As 1 have insisted previously in discussing the removal ofcancer, we must not be goverend by considerations of anatomy. Theloss of the sternomastoid and other muscles is quickly compensated; theloss of a large part of the venous system is of no moment whatever, fornumerous veins, deep and superficial, quickly enlarge to supply the lack;control of the carotid is temporary only, and in a large experience 1have seen no damage follow the use of Criles clamp carefully applied tothat vessel without forcible compression. This neck dissection is a some-what formidable oi)eration, and may result disastrously if any of thesugge
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1910
