English:
The axilla having been cleansed and the deep fascia surrounding the mammary area having been dissected free, it remains to remove the pectoral muscles and the breast. The surgeon grasps the breast with his left hand and exerts traction in a downward direction; this puts the pectoral muscle on the stretch. The muscles are then shaved from their points of attachment to the chest wall.

Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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Text Appearing Before Image:
terior axillary fold. The skin flaps have been completely reflected. ond day, when, in the absence of profuse wound secretion, the drainage tube is removed;when the secretion is greater than ordinary, the tube is allowed to remain until the fourthday or in some instances a rubber-tissue drain is substituted for it. The average time spent in the hospital by our patients, after radical breast amputa-tions, is 16.8 days; uncomplicated cases remain 13.9 days; complicated cases 29.8 days 596 THE BREAST on the average. These figures are estimated from a consecutive series of 50 patients ina number of whom serious complications considerably prolonged the usual hospital time.In the uncomplicated cases, the stitches are removed on the seventh day after operation;it is advisable, however, to retain the anchorage sutures for several additional days.No additional care is required except the usual aseptic toilet of the wound, with alcoholrubbings of the surrounding skin and a dry sterile dressing.
Text Appearing After Image:
Fig. 215.—The axilla having been cleansed and the deep fascia surrounding the mammary areahaving been dissected free, it remains to remove the pectoral muscles and the breast. The surgeon graspsthe breast with his left hand and exerts traction in a downward direction; this puts the pectoral muscleon the stretch. The muscles are then shaved from their points of attachment to the chest wall. That position of the arm on the operated side should be chosen which gives the patientthe greatest degree of comfort. Owing to the padding in the axilla it is necessary tokeep the arm in a somewhat abducted position, however, and this is best accomplishedby supporting the member on pillows while the patient is put in a semi-sitting position;mechanical devices to maintain the arm in a fixed position are unnecessary and may beharmful. The after-care of patients on whom skin grafting has been done is described elsewhere. CARCINOMA 597 Post-operative Complications.—Among the 50 consecutive cases men

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