The surgical anatomy of the arteries of the human body. 2 vols. [in 1].

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第 123 頁 - Kirby," p. l04. t Crisp on the Structure, Diseases &c., of the Blood Vessels, p. 226. in the direction of the fibres of the aponeurosis of the external oblique muscle. One extremity of this incision will be situated near the spine of the ilium ; the other will terminate a little above the inner margin of the abdominal ring. The aponeurosis of the external oblique muscle will be exposed, and is to be divided throughout the extent, and in the direction of the external wound. The flap...
第 117 頁 - To lay bare the right subclavian artery before it reaches the scaleni, will not be found difficult by any surgeon possessed of a steady hand and a competent knowledge of anatomy ; but I fear, that with the utmost dexterity, much difficulty will be experienced in passing and tying the ligature around it, even in the most favourable case. This operation, difficult...
第 123 頁 - One extremity of this incision will be situated near the spine of the ilium ; the other will terminate a little above the inner margin of the abdominal ring. The aponeurosis of the external oblique muscle will be exposed, and is to be divided throughout the extent, and in the direction of the external wound. The flap which is thus formed being raised, the spermatic cord will be seen passing under the margin of the internal oblique and transverse muscles. The opening in the fascia, which lines the...
第 113 頁 - ... the clavicle, that the portion of this muscle expected to be brought into view in this stage of the operation, was situated more than an inch below the clavicle; and it was found necessary to draw it up from its concealment, and to cut it across, that the subjacent parts might become accessible. . Having applied my finger to the edge of the scalenus anticus, I was directed by it to the situation of the artery; but at this juncture causes of further difficulty arose, chiefly from the great depth...
第 123 頁 - The opening in the fascia, which lines the transverse muscle through which the spermatic cord passes, is situated in the mid-space between the anterior superior spine of the ilium, and the symphysis pubis. The epigastric artery runs precisely along the inner margin of this opening, beneath which the external iliac artery is situated. If the finger, therefore, be passed under the spermatic cord, through this opening in the fascia, it will come into immediate contact with the artery, which lies on...
第 67 頁 - The origin of the vessel is nearly opposite the centre of a line, drawn from the anterior superior spinous process of the ilium to the umbilicus.
第 118 頁 - ... operation, difficult on the right, must be deemed impracticable on the left subclavian. For the great depth from the surface at which this vessel is placed, the direct course which it runs in ascending to the top of the pleura, the sudden descent which it makes from this to sink under the protection of the clavicle, and the danger of including in the same ligature the eighth pair of nerves, the internal jugular vein, or the carotid, which all run close to, and nearly parallel with this artery—...
第 113 頁 - ... extensive, or a more complicated division of the skin. " The next part of the operation consisted in dividing the platisma myoides, fascia, and subjacent cellular tissue ; this occupied a considerable time, in consequence of the great number of veins which it was found necessary to secure with ligatures. The external jugular, and two or three other superficial veins were easily secured, but a series of more deeply seated veins proved extremely troublesome; one branch of these in particular poured...
第 176 頁 - It is said the leg should be bent, the foot extended, and both placed on the outer side ; an incision should then be made, about four inches in length, along the inner edge of the tibia, through the integuments and fascia (the internal saphena vein should be avoided), the edge of...
第 83 頁 - In drawing a line from the anterior superior spinous process of the ilium, to the tuberosity of the ischium, it passes on its way, from one point to the other, the apex of the large trochanter, in the normal position of the femur. It crosses the trochanter more or less below the apex in dislocation.

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