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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e, its connections are snipped by scissors,the body of the tumor being closely adhered to this process, and the growth is removed. All hemorrhageis then checked and the breast is put back into its original position. 468 THE BREAST Its outer or cutaneous surface is entirely uninjured, and the only alteration which has been effectedin the organ is the leaving o£ a cavity which was formerly occupied by the tumor. A glass tube withsmall holes at its upper extremity and along its sides, about 3 inches in length, and of about the size of aNo. to urethral sound, is then passed into the cavity between the lips of the incision, and its lowerextremity is fixed to the thoracic walls b3 adhesive plaster. The incision is closed with silk and coveredwith collodion. The tube is removed in nine days. Warren (Annals of Surgery, Vol. 45, No. 6, June, 1907, p. 810) gives the followingelaboration of the operation first described in his paper The Surgeon and the Patholo-gist (J. A. M. A., July 15, 1905).
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172.—The breast is re-apposed to the chest wall and is stitched to the edge of the pectoralis majormuscle. Note self-closure of the radiating incisions. (Warren.) The operation is designed to take the place of those exploratory incisions which are often inadequatefor the purpose, or are so situated as to leave a cicatrix in a part of the integument frequently e.xposed toview. It is also so planned as to expose freely every part of the gland, and, therefore, to accomplish allthat an amputation would in doubtful cases. An operation that can relieve the mind of the patientfrom all uncertainity as to diagnosis, produces no subsequent deformity and entails but little discomfortand sacrifice of time, seems well indicated as a substitute for the various forms of treatment which havefrom time to time been suggested—such as puncture, aspiration or small exploratory incisions. It isalso well adapted to overcome the fears of those who shrink from any operative interference whatsoever. In ear

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