Identifier: textbookofoperat1903koch (find matches)
Title: Text-book of operative surgery
Year: 1903 (1900s)
Authors: Kocher, Theodor, 1841-1917 Stiles, Harold J
Subjects: Surgery, Operative Surgery
Publisher: London : Adam and Charles Black
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: Open Knowledge Commons and Yale University, Cushing/Whitney Medical Library

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- through an incision alongthe Sth intercostal space. as to include both layers of the pleura (costal and diaphragmatic), and thus to shut offentirely the area of operation from the rest of the pleural cavity. A portion of costalpleura, at least 4 cm. in diameter, can then be excised within the sutured area, and lie OPERATIVE SURGERY
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Ext. intercostal m. Intercostal vessels) and nerve. / Liver Peritoneum Ext. oblique Fig. 79.—Exposure of the convex surface of the liver through the 7th intercostal space. THORAX 169 the glistening bluish upper surface of the diaphragm exposed. The diaphragm, whirl,forms a somewhat thin layer of muscle between the pleura and peritoneum, is thenincised. If the peritoneum is not adherent to the upper surface of the liver a continuouscircular suture must also be introduced between the parietal and visceral peritoneum.The liver abscess (or hydatid cyst) is then opened—with the thermocautery if deeplysituated—and the cavity is then stuffed with iodoform gauze. 102. The Surgery of the Lungs. Surgical interference on the lungs is at thepresent time practically limited to the evacuation of abscesses. It is almost alwaysuseless for tubercular cavities owing to the presence of tubercle in the neighbourhood,while in bronchiectasis its advantage is doubtful on account of the number of cavit

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