Identifier: operativesurgery02brya (find matches)
Title: Operative surgery
Year: 1899 (1890s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914
Subjects: Surgery, Operative Surgery, Operative
Publisher: New York : D. Appleton and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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, which may be troublesome. Similarly, in old people with tardy blad-ders, it may inhibit the proper evacuation of the urine, though we havenever had the misfortune to observe this. Patients past middle age also are usually shaved and prepared on theoperating table to avoid any exposure incidental to an open ward prepara-tion. The skin in the line of proposed incision is infiltrated with Schleichscocain solution, and the incision may be immediately made through thelinear wheal thus produced. It is common experience to find the infil- (»lKI(Ari()NS ().\ VISCKKA ((>\M;( Illl) WIIII li:inl()NyT)U:\I. 4;> tnited tissues nioir Viisfiihir thiui usual, and it is important that all bleed-ino: ))oiuts bo iniiuediately clainijcd, siiieo a dry and unstained field is essen-tial to tlie success of the dissection. It is unnecessary and useless to attemptto ana-sthotize the panniculiis. As .Schlrich has shown, only tissues which LATERAL CUTANSOF 12 D ANT. 5UPR. SPINE LAT. CUTAN Ori.L.
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Fk;. 1163.—Operation for the radical cure of inguinal liernia under local anjesthesia.Cusliings method. The peripheral distribution, and the relation of the trunks of theinguino-scrutal nerves to the main incision. 1. Ilio-liypogastric nerve. :?. Ilio-ingui-nal nerve. 3. Genito-crural nerve, its genital (4) and crural (5) branches. can be oedematized are fitted for the infiltration method, and in the pan-nicnlus, at the upper angle, practically no nerves are encountered. If, how-ever, throughout its whole length, this incision is carried down to the apo-neurosis, unanaesthetized fibers of the ilio-hypogastric will be encounteredin the superficial fat at the lower angle, together with one or two large veins,division of which is painful, so that anesthetization of the panniculus layeris here necessary, or else, as has been done on several occasions, the incisiononly at the upper angle may be carried down to the aponeurosis, which is thenopened in the line of fibers from the external r

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