Hand-book of surgical operations / by Stephen Smith.

  • Stephen Smith
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: Hand-book of surgical operations / by Stephen Smith. Source: Wellcome Collection.

Provider: This material has been provided by the National Library of Medicine (U.S.), through the Medical Heritage Library. The original may be consulted at the National Library of Medicine (U.S.)

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    F«R. 60. pulsating between the extensor ossis metacarpi pollicis, and the extensor secundi metacarpi pollicis, a little below and posterior to the extremity of the styloid process of the radius; at this point the ligature may also be applied. Operation.—In ligating the artery at the commcnccm the palmar arch, an incision of an inch in length is made along the outer borders of the extensor secundi and carpi pollicis, at the angle formed by the two fii carpal bones, care be- ing taken not to wound the super- ficial veins. The ar- tery is readily ex- posed and tied. If the point of liga- tion is higher, the hand is placed be- tween pronation and supination, the thumb strongly abducted so as to render prominent the extensors, am incision is made an inch in length, between the ten-dons of the extensors above indicated, commencing at, the lower extremit the radius, and being in the line of the axis (if the first metacarpal bone. These incisions are made lightly, the superficial vein of the thumb avoided, and the fibrous tissues over the artery divided, exposing the artery; the extensor ossis metacarpi pollicis. drawn inwards, and the extensor secundi internodii pollic outwards, exposing the artery, c, and its accompanying veins, h. II. In toe Lower Third of the Arm.—The artery is superficially, lyin^botween the tendons of the supinator longui the flexor carpi radialis; it is accompanied by venae comi- tes, and by the radial nerve which lies external; its pul- sation is easily detected. Operation.—(Fig. Gl.) The arm is held supine; the hand forcibly exti makes prominent the flex- ors; the operator standing on the externa] side of the limb makes a light incision, Fig. 61. two inches in length, from half an inch above the arti- culation of the radius, on the external border of the flexor i radialis or on a line joining the external with the three internal