File:Modern surgery, general and operative (1919) (14597469247).jpg

Identifier: modernsurgerygen1919daco (find matches)
Title: Modern surgery, general and operative
Year: 1919 (1910s)
Authors: Da Costa, J. Chalmers (John Chalmers), 1863-1933
Subjects: Surgery, Operative
Publisher: Philadelphia : Saunders
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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^inch, as the sheath of the tibialis posticus muscle will then surely be opened.In closing the wound, suture the ligament by buried sutures of catgut beforeclosing the superficial parts (PI. 6, Fig. 6).
Text Appearing After Image:
Pig. 282.—The lines indicate the incision to be made for the ligature of the common_fem-oral, of the femoral in Scarpas trians^le and in Hunters canal, and of the posterior tibial inthe calf and behind the malleolus (MacCormac). Ligation in the Middle of the Leg.—In this operation the patient is placedin the same position as for the ligation back of the malleolus. Feel for the innerborder of the tibia, and make an incision 4 inches long i inch behind the osseousborder, parallel with it, and extending through skin and superficial and deepfascia (Fig. 282). Draw the gastrocnemius muscle outward. Incise the soleusmuscle, but not the fascia beneath the soleus; cut this fascia, after droppingthe handle of the knife so that the blade is at right angles with the plane of thetibia. Clear the artery; pass the needle from without inward (PI. 6, Fig. 6). The popliteal artery is almost never ligated in continuity. It can betied at the upper portion of the popliteal space, at the lower portion

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