A Hand-Book of Operative Surgery

Cover A Hand-Book of Operative Surgery
A Hand-Book of Operative Surgery
Packard, John H. (John Hooker), 1832-1907
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1, the vessel is seen exposed at two points. An incision two and a half to three inches long, according to the size of the limb and the amount of fat it contains, is made along the inner side of the prominence formed by the biceps muscle. Succes- sive layers of fascia are pinched up, nicked, and divided on a director, the vein and nerves held out of the way, and the aneurism-needle passed from within outward.
When the artery bifurcates high up, we must secure both branches, lest the aneurism or
... bleeding necessitating the opera- tion, although controlled for the time, should be troublesome again when the circulation is fully restored through the distal portions of the vessels of the limb.
[The arrangement of the veins of the upper limb is shown in Figs. 3 and 4, Pi. XLI ; it was formerly, when venesection was constantly practised, a matter of greater surgical interest than now.
The veins are, as in the leg, divided into the superficial set and the deep.
The superficial, coming up from the hand along the front of the forearm, some- what irregularly, form at or near the bend of the elbow three principal trunks ; one at tlie radial, one at the ulnar side, and one, the median, between the other two.


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