Manual of the Principles and Practice of Operative Surgery

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Houghton, Osgood, 1879 - 689 sider
 

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Side 260 - Its course corresponds to a line drawn from a point midway between the anterior superior spine of the ilium and the symphysis pubis, to the inner side of the inner condyle of the femur.
Side 253 - Make an incision (e) in a line drawn from the middle of the bend of the elbow to half an inch internal to the styloid process of the radius.
Side 249 - The axillary artery extends from the lower border of the first rib to the lower border of the tendon of the teres major.
Side 2 - ... (2) that he will use reasonable and ordinary care and diligence in the exertion of his skill and the application of his knowledge, to accomplish the purpose for which he is employed.
Side 166 - ... (The straps are now made of soft webbing with permanent wool pads, and are themselves removable, being simply buckled at each end.) "It will thus be seen that the instrument, like the spine itself, acts like a double lever with a common fulcrum at the curvature; this action is directly backward at the hips and shoulders, and directly forward at the middle of the back, or wherever the diseased part is located. Thus the posterior portion, the only healthy portion of the diseased...
Side 631 - The first flap being thus made, the operator grasping the tissues on the inside of the thigh and carrying them inwards, introduces the knife below the head of the femur, and on the inner side of its neck, holding it in a perpendicular position. As it enters, the point of the knife should pass around the neck of the femur and come out at the lower angle of the wound already made, without coming in contact with the bones of the pelvis; it is then carried downwards along the femur, and avoiding the...
Side 306 - An opening is observed, irregularly circular, with edges generally a little torn ; and the whole wound is slightly inverted. There may be darkening of the margin, of a livid purple tinge, from the effects of contusion, or it may be simply deadlike and pale. Should the ball have passed out, the wound of exit will be probably larger, more torn, with slight eversion of its edges, and protrusion of the subcutaneous fat, which is thus rendered visible. These appearances are the more easily recognised,...
Side 528 - ... between the calibre of the canal and the external orifice be readily appreciated. Among the advantages claimed for this instrument are: 1. Its capacity to measure the size of the urethra, and to ascertain the locality and size of any Strictures present, without reference to the size of the meatus. 2. It enables the surgeon to complete the examination of several Strictures by a single introduction of the instrument...
Side 565 - ... about two-thirds of its extent. Upon this the patient is now laid, her clothing is lifted up to the armpits, and the body enveloped by the folded sheet, which extends from the axillae to a little below the trochanters. The legs are covered by flannel drawers and the feet by warm woollen stockings, and against the soles of the latter bottles of warm water are placed.
Side 152 - In the dorsal dislocation, — 1. Flex, and forcibly lift. If this fails,— 2. Flex, and lift while abducting. If this fails, it will be found that abduction has carried the head of the bone from the dorsum nearly or quite to the thyroid foramen, and that the capsular rent has been so enlarged that the first method may now prove successful.

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