The operating room and the patient; a manual of pre- and post-operative treatment . vered with a wet saline sponge. Three or 4 cm. of the superficial vein of the recipient is exposed, the distal part ligated and the proximal end closed with a Crile clamp. The distal part is then divided with scissors, the adventitia being drawn out as far as possible and snipped off close. A cannula (Fig. 160) is selected the bore of which is larger than the natural tissue thickness of either vein or artery. The vein is then pushed through the cannula with the free end drawn back at the cuff and snugly tied in
The operating room and the patient; a manual of pre- and post-operative treatment . vered with a wet saline sponge. Three or 4 cm. of the superficial vein of the recipient is exposed, the distal part ligated and the proximal end closed with a Crile clamp. The distal part is then divided with scissors, the adventitia being drawn out as far as possible and snipped off close. A cannula (Fig. 160) is selected the bore of which is larger than the natural tissue thickness of either vein or artery. The vein is then pushed through the cannula with the free end drawn back at the cuff and snugly tied in the second groove. To facilitate the procedure the handle of the cannula is manipulated with forceps. The 3, clamp applied to artery, artery is then drawn over the vein(Fowlers Surgery.) , ^. , v. n T and snugly tied with a small Imen ligature in the first groove. Should the artery be atheromatous or for any reason contracted, its lumen may be dilated by means of a mosquito hemostat pushed into its lumen and gradually opened. The vein clamp is removed, then gradually the artery. 1 2 3 -1, Criles clamp; Fig. 1592, rubber tubing for slippingover the ends of the clamps;
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Keywords: ., bookcentury1900, bookdecade1910, bookidoperatingroo, bookyear1913
