. Manual of operative surgery. Fig. io2r. Fig. io:; Figs. 1021 and 1022.—^Lymphangioplasty. Repeat this manauvre until all the threads which emerge at / have beentucked in various directions into subcutaneous tissues of the back. Step 10.—Close all the incisions with sutures. Handley writes (Brit. Med. Journ., April 9, 1910. The choice of cases for lymphangioplasty. The analysis of my cases shows that lymphangioplasty is contraindicatedin cases where a general anesthetic cannot be borne, and in cases where silkthreads would have to pass through cancerous tissue. It is also inadvisable tooperat
. Manual of operative surgery. Fig. io2r. Fig. io:; Figs. 1021 and 1022.—^Lymphangioplasty. Repeat this manauvre until all the threads which emerge at / have beentucked in various directions into subcutaneous tissues of the back. Step 10.—Close all the incisions with sutures. Handley writes (Brit. Med. Journ., April 9, 1910. The choice of cases for lymphangioplasty. The analysis of my cases shows that lymphangioplasty is contraindicatedin cases where a general anesthetic cannot be borne, and in cases where silkthreads would have to pass through cancerous tissue. It is also inadvisable tooperate where there is growth present about the shoulder, if the pain is mainlyan axillary one, or is a lancinating pain shooting down the arm. In the presenceof pleural effusion or secondary growths the benefits of the operation are trans- ELEPHANTIASIS 875 ient, but the shortest period of relief may, under the circumstances, be consid-ered by the patient as worth having. Minor degrees of obstruction to the return of lymph from
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