Operative surgery . )ina?, with the center midway between the iliac crest and thelast rib (Figs. 1032, 1033, and 1034), two inches and a half in length downupon the lumbar fascia; divide the fascia and expose the fibers of the erectorspina? the entire length of the incision ; separate the outer border of themuscle from the sheath, and draw the entire muscle toward the median linewith retractors, thus exposing the anterior layer of the sheath—i. e., themiddle layer of the lumbar fascia; divide the anterior layer of the sheathvertically as near to its connection with the tips of the transverse p
Operative surgery . )ina?, with the center midway between the iliac crest and thelast rib (Figs. 1032, 1033, and 1034), two inches and a half in length downupon the lumbar fascia; divide the fascia and expose the fibers of the erectorspina? the entire length of the incision ; separate the outer border of themuscle from the sheath, and draw the entire muscle toward the median linewith retractors, thus exposing the anterior layer of the sheath—i. e., themiddle layer of the lumbar fascia; divide the anterior layer of the sheathvertically as near to its connection with the tips of the transverse processes OlKKAIMONS. ll^5<J. Fig. 1513.—Instrmnonts employed for operation on psoas abscess. a. Large and small scalpels, h. Forcipressure. c. Short blunt-pointed, straight andcurved scissors, d. Dressing and mouse-tooth forceps, e. Blunt and hooked retrac-tors, f. Sponge-holder with sponge, g. Barkers flushing gauge, h. Long curvedneedle, i. Grooved director. /. Perforated drainage tube. k. Long silver Scoop, m. Catgut ligatures. Silkworm-gut sutures, wipers, small sponges, band-ages, and an aspirating needle, etc., are required. as convenient, thereby exposing the quadratus lumborum muscle (); sever the muscular fibers close to the end of a transverse process,and enlarge the incision cautiously to the full extent of the wound ; dividethe anterior layer of the lumbar fascia, and expose the outer border of thepsoas magnns muscle; sever some of the tendinous fibers of the psoas fromthe transverse process, close to the bone anteriorly; introduce the fingerbeneath the muscle and carry it gently al
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Keywords: ., bo, bookcentury1800, bookdecade1890, bookidoperativesurgery02brya
