Synopsis
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1887 edition. Excerpt: ...the nerve is beneath the whole muscle. By searching the posterior border of the muscle, the nerve can be found and followed back into the muscle. Provide drainage, and close the wound. NERVE-STRETCHING OF' THE GREAT SCIATIC. Place the subject on the abdomen. Begin an incision a little above the gluteal fold, and extend it downward four inches in the middle line of the thigh. Divide the integument and fasciae, and expose the border of the gluteus-maximus muscle. Divide the cellular tissue along the outer border of the long head of the biceps femoris, and retract the sides of the wound. The nerve is seen resting on the adductor magnus. Separate the nerve with the fingers. Raise the leg from the table by pulling on the nerve hooked up by the fingers. If the limb is very heavy, it need not be quite raised. Provide for drainage, and close the wound. NERVE-SUTURING OF THE MEDIAN. Supinate the forearm. Begin an incision about two inches above the wrist, between the tendons of the palmaris longus and the flexor carpi radialis. The incision should extend upward three inches, dividing the integument and fasciae. Separate the tendons of the palmaris longus and the flexor carpi radialis, and raise the flexor sublimis digitorum muscle. Retract the sides of the wound to expose the nerve. (Excise an inch of the nerve.) Both ends of the nerve being exposed, should be stretched by means of forceps to approximate them. Freshen the ends of the nerve by cutting away the tips which were crushed by the forceps. Bring the ends into apposition by means of stitches extending through the nerve-sheath only. Provide for drainage, and close the wound. CHAPTER IX. OPERATIONS ON THE CIRCULATORY SYSTEM. COMPRESSION OF VESSELS. 1. Pressure is applied to a particular...
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