. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . Pig. 432. The rest of the operation, thesecuring of the vessels, etc., isdone as usual. Fig. 432 rep-resents this procedure, exceptthat the skin flap is, as ad-vised by Velpeau, turned uplike a cuff, 1,2. It is betterto merely retract it, as abovedirected. The flap method. Standingon the inner side of the limb,the surgeon directs an assist-ant to supinat
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . Pig. 432. The rest of the operation, thesecuring of the vessels, etc., isdone as usual. Fig. 432 rep-resents this procedure, exceptthat the skin flap is, as ad-vised by Velpeau, turned uplike a cuff, 1,2. It is betterto merely retract it, as abovedirected. The flap method. Standingon the inner side of the limb,the surgeon directs an assist-ant to supinate the hand and to flex the elbow to about 135 the tissues in front of the joint with his left hand, henow enters a narow double-edged knife, about an inch below theinner condyle of the humerus, and pushes it across, grazing thebones, so as to make the point emerge about two inches below. Amputation at the elbow joint,lower end of humerus. 1, and 2. 788 SCIENCE AND ART OF SURGERY. the outer condyle. The tissues thus transfixed, the knife is madeto cut its way out, so as to form a flap about three inches inlength. Next, the posterior division is made across the base ofolecranon, the anterior flap raised, the joint opened in front, theligaments and the triceps tendon cut, and the operation is complete. The dressing of the stump thus made is done in the usual way,and as heretofore recommended. Amputation through the Forearm.*—This may be doneby the circular method, as shown in Fig. 434. The surgeon Fig. 434.
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