The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . plexusof nerves, which are found above and external to it. This procedure has the serious fault of requiring the nerves and vessels tobe pulled or dragged with more or less of violence, and to be isolated bylacerating the cellular tissue which surrounds them. The operations ofHodgson and Chamberlaine are therefore to be preferred. In performing-each of these three operations, especially the last, care must be taken thatthe cephalic vein be not w^ounded. Operation in the Axillary Hollow or
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . plexusof nerves, which are found above and external to it. This procedure has the serious fault of requiring the nerves and vessels tobe pulled or dragged with more or less of violence, and to be isolated bylacerating the cellular tissue which surrounds them. The operations ofHodgson and Chamberlaine are therefore to be preferred. In performing-each of these three operations, especially the last, care must be taken thatthe cephalic vein be not w^ounded. Operation in the Axillary Hollow or Armjpit.—Eelow the pectoralis minor,that is, in the third part of its course, the artery is quite superficial, beingcovered only by the integuments and deep fascia. Place the patient on hisback, with the arm extended and rotated outward (Fig. 484). The operatorshould stand on the outer side, if it be the right arm, and on the inner side ifit l)e the left arm. Having found the inner border of the coraco-bruchialis mus-cle, and the place where the artery pulsates, make an incision two or three inches. 1>£LIGATI0N OF ARTERIES. 307 in lengtli, along tlie line indicated in the Fig- 484. accompanying wood-cut (Fig. 484), divid- \^ ing the skin only. Incise the fascia on adirector. Then the axillary vein is tobe pushed backward with the end of thedirector, and next the brachial plexus ofnerves. The median nerve is now recog-nized, and, being drawn forward, whilethe internal cutaneous and ulnar nervesare pushed backward, the artery is ex-posed. Cautiously separate the arteryfrom the vein, which is pushed backward, and the nerves that surround it. Pass the j»^ ?^^..^. Ay^^ ^^y,^ needle from behind forward. rr., .ii , T J. 1 r> Ligation of the axillary artery, in the armpit. ihe axillary artery was ligatured, tor (Seduiot.) the first time, on January 17, 1815, by Mr. R. Chamberlaiiie, of Kingston, .Jamaica, for an aneurism of the leftaxilla, occasioned by a wound with a cutlass
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