Chapter 12

OPERATIONS ON NERVES.

Nerve-stretching--Nerve-cutting--Nerve suture, 299-301

ADDENDUM to Chapter IX., 302

INDEX, 303-311

LIST OF ILLUSTRATIONS.

FIG. PAGE

I. Amputations of Fingers, 50

II. Diagram of Finger showing Articulations, 50

III. Dubrueil's Amputation at Wrist (front view), 57

IV. " " (dorsal view), 57

V. Amputations of Toes, 69

VI. Excision of Wrist-joint--Lister's, 126

VII. Operations for Ectropium and Entropium, 151

VIII. Operation for Trichiasis--Streatfeild's, 151

IX. Operation for Epiphora--Bowman's, 155

X. Greenslade's Instrument for above, 156

XI. Operations for Squint, 157

XII. Linear Extraction of Cataract, 162

XIII. Flap Extraction of Cataract, 162

XIV. Operation of Corelysis--Streatfeild's, 171

XV. Operation for Staphyloma--Critchett's, 172

XVI. Result of above, 172

XVII. Rhinoplastic Operation from Cheek, 176

XVIII. " " Forehead, 177

XIX. Operation on Lip, V-shaped incision, 181

XX. Operation on Lip, by scissors, 181

XXI. Operation for a new Lip, incisions, 182

XXII. Operation for New Lip sewed up, 182

XXIII. Diagram of Partial Fissure (Harelip), 184

XXIV. Nelaton's Operation for ditto, 184

XXV. Operation for Double Harelip, 185

XXVI. Diagram of Double Harelip, 186

XXVII. Excision of Upper and Lower Jaws, 189

XXVIII. Operation for Salivary Fistula, 196

XXIX. Operation for Fissure in Soft Palate, 201

XXX. Operation for Fissure in Hard Palate, 203

XXXI. Diagram illustrating Operations on Air Passages, 207

XXXII. Diagram illustrating Operations for Hernia, 241

XXXIII. Diagram of an Artificial Anus, 253

XXXIV. Diagram of Section of Prostate, 257

XXXV. Diagram of Membranous portion of Urethra, 259

XXXVI. Diagram illustrating Puncture of Bladder, 284

XXXVII. Diagram of Operation for Phymosis, 286

XXXVIII. Diagram of Amputation of Penis, 287

PLATE I.

1. Ligature of Aorta--Sir A. Cooper's incision.

2. Ligature of Aorta--South and Murray's incision.

3. Ligature of Common Iliac.

4. Ligature of External Iliac--Sir A. Cooper's.

5. Ligature of Femoral in Scarpa's triangle.

6. Ligature of Femoral below Sartorius.[1]

7. Ligature of Innominate.

8. Ligature of third part of Left Subclavian.

9. Ligature of Axillary in its first part.

10. Ligature of Axillary in its third part.

11. Ligature of Brachial.

12. Amputation of Arm by double flaps.

13. Amputation at Shoulder-joint (1st method), showing portion of skin left uncut till the conclusion of the disarticulation.

14. Amputation at Ankle-joint by internal flap--Mackenzie's.

15-16. Amputation of Leg just above the Ankle-joint.

17-18. Amputation below Knee--modified circular.

19. Amputation through Condyles of Femur--Syme, and Pl. III. 5.

20. Amputation at lower third of Thigh--Syme, and Pl. III. 6.

A. Excision of Head of Humerus.

B. Excision of Knee-joint; semilunar incision.

FOOTNOTES:

[1] This line is placed too low down; it should be in the middle third of the thigh.

PLATE II.

1. Amputation at lower third of Fore-arm--Teale's.

2-2. Amputation at Shoulder-joint by large postero-external flap--2d method.

3-3. Amputation at Shoulder-joint by triangular flap from deltoid--3d method.

4-5. Amputation through Tarsus--Chopart's.

6-7. Amputation at Knee-joint.

8. Amputation by Single Flap--Carden's, and Pl. IV. 16.

9-10. Amputation of Thigh--Teale's.

A. Excision of Hip-joint.

B-B. Excision of Ankle-joint--Hancock's incisions.

PLATE III.

1. Ligature of Popliteal.

2. Amputation at Elbow-joint--posterior flap.

3. Amputation at Shoulder-joint--posterior incision of first method, and Pl. I. 13.

4. Amputation at Ankle-joint--Mackenzie's, and Pl. I. 14.

5. Amputation through Condyles of Femur--Syme, and Pl. I. 19.

6. Amputation at lower third of Thigh--Syme, and Pl. I. 20.

7. Amputation at Knee--posterior incision.

8. Amputation of Thigh--Spence's, and at Pl. IV. 18.

9. Amputation at Hip-joint, and Pl. IV. 20.

A. Excision of Shoulder-joint--deltoid flap.

B. Excision of Shoulder-joint by posterior incision.

C. Excision of Elbow-joint--H-shaped incision.

D. Excision of Elbow-joint--linear incision.

E. Excision of Hip-joint--Gross's.

F. Excision of Os Calcis.

G. Excision of Scapula.

PLATE IV.

1. Ligature of Carotid.

2. Ligature of Subclavian (3d stage)--Skey's incision.

3. Amputation at Wrist-joint--dorsal incision.

4. Amputation at Wrist-joint--palmar incision.

5. Amputation at Fore-arm--dorsal incision.

6. Amputation at Fore-arm--palmar incision.

7. Amputation at Elbow-joint--Anterior flap, and Pl. III. 3.

8. Amputation at Arm--Teale's method.

9. Amputation at Shoulder-joint--1st method, and Pl. III. 3.

10-11. Amputation of Metatarsus--Hey's.

12-13. Amputation at Ankle--Syme's.

14-15. Amputation of Leg--posterior flap--Lee's.

16. Amputation at Knee-joint--Carden's, and Pl. II. 8.

17. Amputation of Thigh--B. Bell's.

18. Amputation of Thigh--Spence's, and Pl. III. 8.

19. Amputation of Thigh in middle third.

20-20. Amputation at Hip-joint, and Pl. III. 9.

A. Excision of Wrist--radial incision.

B. Excision of Wrist--ulnar incision.