. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. gle of the mesial wound, and turning down a flap, thetrachea was finally exposed. A more frequent cause ofdisplacement of the trachea is unequal retraction of theborders of the wound in the course of the dissection toexpose it, or unintentional departure from the mid lineof the neck by the surgeon. The result is that the oper-ator strikes the trachea laterally, or misses it have been related to me in which the operator, hav-ing thus missed the tr
. A Reference handbook of the medical sciences : embracing the entire range of scientific and practical medicine and allied science. gle of the mesial wound, and turning down a flap, thetrachea was finally exposed. A more frequent cause ofdisplacement of the trachea is unequal retraction of theborders of the wound in the course of the dissection toexpose it, or unintentional departure from the mid lineof the neck by the surgeon. The result is that the oper-ator strikes the trachea laterally, or misses it have been related to me in which the operator, hav-ing thus missed the trachea, has continued his dissectionuntil the vertebral column was reached. Thornton6Ssays that he has seen, at the post-mortem examination ofa child at one of the London hospitals, three cuts on thevertebral column, which had been made by a house-surgeon in fruitless attempts to open the trachea. Suchmischances are most likely to occur when the field ofoperation is obscured by blood, and an inexperiencedoperator is under the pressure of symptoms demanding 180 REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. Fig. 397fi.—Lateral Incis-ion into the Trachea.(From a photograph.) haste. The history of the case of lateral incision shownin Fig. 3976 is a type of these cases. The illustration istaken from a photograph which I had made from aspecimen presented hy the lateDr. Giberson before the BrooklynPathological Society. In the courseof the operation so much troublewas experienced from haemor-rhage, and the childs extremityappeared so great, that a hasty in-cision and an immediate insertionof a cannula was deemed embarrassment to the respi-ration continued after the cannulawas in place, confined chiefly toexpiration. This continued unre-lieved, and was a prominent factorin determining the fatal result,which took place in about twenty-four hours. The specimen showedthat the incision had been madethrough the first two rings, andupon the lateral aspe
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