Annals of surgery . Fig. I.—Tumor of larynx viewedfrom right Fig. 2.—Tumor of larynx viewedfrom behind. TOTAL LARYNGECTOMY FOR CARCINOMA. 639 had injected 600 cubic centimetres of normal salt solution into theleft arm I continued the operation. In so doing I made a trans-verse incision along the hyoid bone, and after laying open thethyro-hyoid membrane freed up the epiglottis, and continuedthe dissection from above downward. All vessels were eithertied before cutting or immediately clamped, so that the dissectionwas practically bloodless. The mass was fully as large as I hadestimated it
Annals of surgery . Fig. I.—Tumor of larynx viewedfrom right Fig. 2.—Tumor of larynx viewedfrom behind. TOTAL LARYNGECTOMY FOR CARCINOMA. 639 had injected 600 cubic centimetres of normal salt solution into theleft arm I continued the operation. In so doing I made a trans-verse incision along the hyoid bone, and after laying open thethyro-hyoid membrane freed up the epiglottis, and continuedthe dissection from above downward. All vessels were eithertied before cutting or immediately clamped, so that the dissectionwas practically bloodless. The mass was fully as large as I hadestimated it, and seemed to spring from above the beginning ofthe oesophagus. After dissecting the oesophagus from the larynxand trachea, I passed through it silk sutures, with which it wassubsequently stitched to the pharynx. The trachea was thendivided from behind forward and stitched into the integumentwith silk. The skin wound was closed with interrupted silk-worm-gut sutures for one and a half inches above the trachea,and after the introduction of a feeding tube throu
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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885
