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. 216.—The breast and pectoral muscles are in the grasp of the left hand and are being dissectedfrom the chest wall. It will be observed that the upper portion of the rectus abdominis sheath has beenremoved. The long thoracic nerve remains intact. to combat serious post- operative shock—and the only case in which it has been necessaryto make a second incision in the axilla to recover a drainage tube that had slipped intothe axillary space. The series is fairly representative of the complications that mayarise after the radical removal of the breast, which are as follows: 598 THE BREAST Case I.—Upper end of the wound broken down. Case 2.—Arm became very swollen and the wound opened; no infection. Arm was elevated and hotbichloride dressings applied; uneventful recovery. Case 3.—Lower part of the wound opened; infected.
Text Appearing After Image:
Fic 217.—Dissection completed. The long thoracic and long subscapular nerves are weU shown.The serratus magnus muscle has in part been removed. The illustration shows that the subscapularvessels have been removed; this is unnecessary in the majority of mstances. The fascial sheaths cover-ing the external oblique and rectus abdominis muscles have been in part removed. Case 4.—Central part of wound sloughed. Case s.—Both ends of wound opened; infected. Case 6.—Entire wound sloughed; patient in hospital 57 days; recovered. Case 7.—Infected drainage sinus; tube reinserted; hot boric acid douches; recovered. Case 8.—Abscesses in incision; axilla opened; irrigations with $ per cent, iodine; recovered. CARCINOMA 599 Case. g.—Excessive bleeding through the tube during the night of the operation; irrigation with hotsalt solution; recovered. Case lo.—Shock; intravenous saline transfusion; recovered. Case II.—Entire wound sloughed; flaps necrotic; several secondary operations;

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