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. 213.—The pectoralis minor muscle has been freed from the coracoid process of the scapula.The apex of the axilla has been cleansed, and the contents are seen reflected downward and outward.In the upper portion of the wound the clavicle and subclavius muscle are visible and emerging frombeneath them are the axillary vessels and nerves. ward, and placed in bed in the semi-upright position with the arm on the operated sidesupported on pillows. Post-operative Treatment.—Our patients are ordinarily kept in bed until the seventhday after operation, when the stitches are usually removed, after which they are allowed CARCINOMA 595 to be up and about and at the end of the second week they are permitted to leavethe hospital. Sitting up in bed is insisted upon as soon as the patient has fully recov-ered from the effects of the anesthetic. The time of the first dressing will depend uponthe amount of serous and bloody oozing from the wound but is usually done on the sec-
Text Appearing After Image:
FiG. 214.—The axillary dissection is completed with the exception of that portion in the region of thelower posterior 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 excep

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