Identifier: operativesurgery00brya (find matches)
Title: Operative surgery
Year: 1905 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914
Subjects: Surgery, Operative Surgery, Operative
Publisher: New York : D. Appleton
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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Fig. 707.—A method of closing ellipticalopening. Fig. 708.—Webers method of closingelliptical opening. Jumping.—Jumping, as the name implies, consists in jumping a flapconnected by a pedicle over intervening undetached tissues. It can bedone with or without the pedicle being twisted (Fig. 709).e
Text Appearing After Image:
Fig. 709.—Jumping, pedicle not twisted. If the flap be not moved more than a quarter of a circle, twisting of thepedicle is not necessary. Undercutting is employed in this operation whenneeded to adjust the parts properly. In Fig. 709 the opening a 6 c is closed by a flap jumped a quarter of acircle and united. When the flap is moved more than a quarter of a circle the pedicle will be twisted, and the degree of twist-ing will depend on the distance the flap is moved.Fig. 710 illustrates a twisted pedicle improperlyemployed in the repair of the lower lip. If the pedicle be too much twisted, the cir-culation of the flap will be impeded, and slough-ing will ensue. Inversion and Eversion.—These methods re-late to the employment of integument in therepair of mucous membrane, or vice versa.Tubular formations may be constructed byeither of these methods, as in the formationof new canals, like the urethra, vagina, and theclosure of an extroverted bladder. The Tag-liacotian Operation.—Th

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