The surgical anatomy of the arteries, and descriptive anatomy of the heart1839 |
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adductor anastomoses aneurism anticus muscle aorta apex artery arises ascends axillary artery beneath bifurcation blood bone brachial artery carotid artery cellular tissue circulation circumflex clavicle common carotid contraction convexity coronary corresponding course covered descends divided dorsal external carotid external iliac artery extremity fascia femoral artery fibres flexor foramen fossa front gland hæmorrhage heart iliac artery inches incision inferior cava inferiorly integuments intercostal internal iliac internal margin interosseous inwards Lastly layer left auricle left side left ventricle ligature longus lower lumbar lung maxillary membrane middle muscular nerve obliquely observed obturator operation opposite orifice origin outwards passes pelvis peritoneum plexus popliteal posterior posteriorly Poupart's ligament profunda pterygoid pudic pulmonary artery pulsation radial radial artery right auricle right side right ventricle scalenus separated small branches spine stage subclavian artery superficial superior supplies surface tendon terminating branches thoracic tibial transverse trunk tumour ulnar ulnar artery upwards usually valve vein vena vertebral vessels wound
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Страница 203 - Its course corresponds to a line drawn from a point midway between the anterior superior spine of the ilium and the symphysis pubis, to the inner side of the inner condyle of the femur.
Страница 178 - But we soon found that the external incision did not enable us to arrive at more than half the extent of the tumour, upwards. It was therefore extended, upwards and backwards, about half an inch within the ilium, to the distance of three inches, making a wound in all about eight inches in length. " The separation of the peritoneum was now continued, until the fingers arrived at the upper part of the tumour, which was found to terminate at the going off of the internal iliac artery. The common iliac...
Страница lxxxviii - ... portion of the right ventricle and the whole of the left, on its left. The apex beats between the cartilages of the fifth and sixth left ribs, at a point about two inches below the nipple and one inch on its sternal side. The lungs descend along the margins of the sternum about two inches apart, and overlap the base of the heart, slightly on the right side, and more extensively on the left ; then, receding from each other, they leave a considerable portion of the right ventricle, and a less extent...
Страница 124 - ... the interval between the internal condyle of the humerus and the olecranon process on the posterior aspect of the limb.
Страница 179 - The difficulty was greatly augmented by the elevation of the aneurismal tumour, and the interruption it gave to the admission of light. " When we elevated the pelvis the tumour obstructed our sight ; when we depressed it the crowding down of the intestines presented another difficulty. In this part of the operation I was greatly assisted by Dr Osborn and my enterprising pupil Adrian A. Kissam. Introducing my right hand now behind the peritoneum, the artery was denuded with the nail of the fore-finger,...
Страница 203 - A semilunar incision is made through the integuments in the direction of the fibres of the aponeurosis of the external oblique muscle. One extremity of this incision will be situated near the spine of the ilium ; the other will terminate a little above the inner margin of the abdominal ring. The...
Страница 185 - Lizars, the exit of the ischiatic artery from the pelvis may be found by placing the patient on his face, with the toes turned out, and drawing a line from the posterior superior spine of the ilium, to the fossa between the tuberosity of the ischium and great trochanter, but, a little nearer to the former : the exit of the artery will be found opposite to the centre of this line.
Страница lxxxviii - ... The right auricle is in front of the heart, at its right side and upper part. One portion of it is overlapped by the right lung, and another, principally the appendix, is in contact with the sternum. The left auricle is situated deep behind and to the left of the heart at its upper part, opposite to the interval between the cartilages of the third and fourth ribs. The extremity of the appendix is visible in front, but, when the volume of the heart is natural, it is not in. contact with the sternum,...
Страница 203 - ... anterior superior spine of the ilium, and the symphysis pubis. The epigastric artery runs precisely along the inner margin of this opening, beneath which the external iliac artery is situated. If the finger, therefore, be passed under the spermatic cord, through this opening in the fascia, it will come into immediate contact with the artery, which lies on the outside of the external iliac vein. The artery and vein are connected by dense cellular tissue, which must be separated, in order to allow...
Страница 203 - ... incision will be situated near the spine of the ilium ; the other will terminate a little above the inner margin of the abdominal ring. The aponeurosis of the external oblique muscle will be exposed, and is to be divided throughout the extent, and in the direction of the external wound. The flap which is thus formed being raised, the spermatic cord will be seen passing under the margin of the internal oblique and transverse muscles. The opening in the fascia, which lines the transverse muscle...