The principles of surgery . firstplace, to reflect the integu-ment in flaps, and thus toexpose the diseased struc-ture naked and defencelessto the needle and this way, strangulationis effected much more effec-tually ; the part is killed atonce, and soon sloughsaway. The flaps are thenreponed; and, in conse-quence, not only is the pro-cess of cure by granulationabbreviated, but loss of sub-stance also is saved, andthe result is less cicatrixand deformity :—a point ofsome considerable impor-tance, when it is remem-bered that the most ordi-nary sites of the tumor areon the head, face,
The principles of surgery . firstplace, to reflect the integu-ment in flaps, and thus toexpose the diseased struc-ture naked and defencelessto the needle and this way, strangulationis effected much more effec-tually ; the part is killed atonce, and soon sloughsaway. The flaps are thenreponed; and, in conse-quence, not only is the pro-cess of cure by granulationabbreviated, but loss of sub-stance also is saved, andthe result is less cicatrixand deformity :—a point ofsome considerable impor-tance, when it is remem-bered that the most ordi-nary sites of the tumor areon the head, face, andneck. Sometimes the morbidstructure is so diffuse, as torender inclusion of the whole, by one deligation, impracticable. In that case, it may be takenaway in detachments ; the operation being repeated at different parts, successively. 2. By diminution of the arterial supply.—When the tumor is sosituated as to be remedially inaccessible, either by knife or ligature, Fergusson. Practical Surgery, last edition, p. Erectile tumor, in a common situation. The integument,uninvolved, has been reflected by flaps. Transfixion is beingcompleted, previous to delation, a, The larger ligature, inthe act of being pulled through. It fills the aperture of punc-ture, preventing bleeding; and besides, bears a stronger strainin the tying. 52G TREATMENT OF ERECTILE TUMOR. this mode of treatment is advisable. When, for example, erectile tumoroccupies the cavity of the orbit, we are warranted in performing deliga-tion of the common carotid; and experience has spoken in favor of thepractice. Circulation is weakened in the tumor, not arrested; andcoagulation may partially occur, causing obliteration ; but it is moreprobable, that the dilated vessels merely recover their normal calibre,and remain pervious. Immediately after the main arterys deligation,they are comparatively empty, and remain so until the collateral circu-lation is fully established; and, their tone never having been lost,
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