. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, ird ordisarticulated from the sternum, and, its outer portionbeing lifted up, it is disarticulated at its acromial ex-tremity. The subclavian vessels are thus exposed, andshould be tied by two ligatures, about an inch apart, andthe vessels finally divided between the ligatures. Theaxillary plexus of nerves should next be divided. Thesecond in
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, ird ordisarticulated from the sternum, and, its outer portionbeing lifted up, it is disarticulated at its acromial ex-tremity. The subclavian vessels are thus exposed, andshould be tied by two ligatures, about an inch apart, andthe vessels finally divided between the ligatures. Theaxillary plexus of nerves should next be divided. Thesecond incision is made at the centre of the first incis-ion, and the knife is carried directly across the anteriorpart of the axilla and inner border of the arm to theinferior angle of the scapula ; from the outer extremity ofthe first incision over the clavicle a third incision shouldbe made posteriorly, across the dorsum of the scapula toits inferior angle, joining the termination of the secondincision (Fig. 408). Upon turning back the posterior flap AMPUTATIONS OF THE FOOT. 507 thus formed and severing the connections of the scapulawith the trunk and the muscular attachments which re-main anteriorly, the upper extremity will be entirely freed Fig. Amputation of arm, scapula, and clavicle, the dotted line representing theposterior incision. (Treves.) from the trunk. The wound, when closed, forms anoblique line running from above downward, outward, andbackward. AMPUTATIONS OF THE FOOT. Amputations of the Toes.—The phalanges of the toesmav be removed in the same manner as those of the fin-gers. It is better to amputate at the metatarsophalangealarticulations than to attempt to remove them at the jointsin front of this articulation, except in the case of the greattoe, as the preservation of a portion of a toe is rather adiscomfort than an advantage, except in the instance men-tioned. All incisions should be made so that the resultingcicatrix does not occupv the plantar surface,
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1902
