. Operative surgery. he defect, parallelincision, h. Closure, slidingin direct line. Fig. 695.—Transverseliberating incision. till TTTT Fig. 696.—Openingclosed. outside incisions are allowed to heal by granulation (Fig. 694). Undercut-ting at the primary incision lessens the tendency to separation of the par-allel ones. Ill the fourtli variety the liberating incisions are made transversely—that is, at right angles to the extremities of the defect, or in the longaxis of it, and undercutting is employed freely (Fig. 695) to permit closureof this opening (Fig. 696). The uppermost curve is undercu
. Operative surgery. he defect, parallelincision, h. Closure, slidingin direct line. Fig. 695.—Transverseliberating incision. till TTTT Fig. 696.—Openingclosed. outside incisions are allowed to heal by granulation (Fig. 694). Undercut-ting at the primary incision lessens the tendency to separation of the par-allel ones. Ill the fourtli variety the liberating incisions are made transversely—that is, at right angles to the extremities of the defect, or in the longaxis of it, and undercutting is employed freely (Fig. 695) to permit closureof this opening (Fig. 696). The uppermost curve is undercut, and the low-ermost is lilierated by a coml)ination of undercutting and sliding aided bytransverse incisions. The defect at c d\s> repaired by making incisions at 572 OPERATIVE SURGERY. either end of the defect in the line of its long axis, and raising and bring-ing together at a & and c d the flaps e a c f and e h d f. After furthersewing the wound appears as in the illustration. The employment of two. Fig. 697.—Repair by incisions in the long axis of the defect. flaps for a definite purpose lessens correspondingly the demands that wouldbe made on a single flap for a similar intent. Sliding in a Curved Line.—Sliding in a curved line can be done withflaps having either curved or angular borders. In the former instance, the
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Keywords: ., bookauthorbryantjosephdjosephde, bookcentury1900, bookdecade1900
