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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Fig. 238 Fig. 239. Fig. 238.—Illustrating Murphys operation for mammary carcinoma. Skin incision._Fig. 239.—Illustrating Murphys operation for mammary carcinoma. The lymphatic-bearing apo-neurosis of the pectoralis major and the fascia and fat between the pectoralis major and minor have beendissected away, together with the breast, the surrounding fat, and the overlying skin. The costal andsternal attachments of the pectoral muscles are then divided with scissors.
Text Appearing After Image:
Fig. 240. Fig. 241. Fig. 240.—Illustrating Murphys operation for mammary carcinoma. The pectoralis major andminor are dissected free from the chest wall and clavicle and retracted upward and outward out of thefield. The axilla then lies exposed clear up to the clavicle. The axillary glands and fat are then dis-sected en masse from the axillary vessels and nerves, beginning at the apex of the axilla and proceedingdownward and backward. The long subscapular nerve is carefully preserved. Fig. 241.—Illustrating Murphys operation for mammary carcinoma. When the axilla is clean,the pectoralis minor is turned into the axillary space and sutured over the axillary structures by tackingstitches. the tumor and remove it. Next I remove the aponeurosis of the pectoralis major muscle and all the fattytissue. Then the pectoralis major muscle is freed from its costal attachment and reflected outward on 6i8 THE BREAST the arm, splitting it well up to the clavicle. The fascia and fat between the pe

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