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Contents of The Axilla-Muscles-stock-foto
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Contents of The Axilla-Brachial Plexus-stock-foto
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Contents of The Axilla-Blood Vessels-stock-foto
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Contents of The Axilla-stock-foto
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Muscles Forming the Posterior Wall of The Axilla-stock-foto
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Medial Wall of Axilla-stock-foto
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axillary spaces-stock-foto
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Axillary Nerve-stock-foto
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Axillary Lymph Nodes-stock-foto
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Deep lymphatic anatomy of the upper limb-stock-foto
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Contents of Axillary Fossa, anatomy-stock-foto
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Dissection showing the contents of the axilla. Lithograph by G.H. Ford, 1867.-stock-foto
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The Superficial Muscles of the Thorax, and the Axilla with its contents-stock-foto
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. The breast: its anomalies, its diseases, and their treatment . Fig. 213.—The pectoralis minor muscle has been freed from the coracoid process of the scapula.The apex of the axilla has been cleansed, and the contents are seen reflected downward and outward.In the upper portion of the wound the clavicle and subclavius muscle are visible and emerging frombeneath them are the axillary vessels and nerves. ward, and placed in bed in the semi-upright position with the arm on the operated sidesupported on pillows. Post-operative Treatment.—Our patients are ordinarily kept in bed until the seventhday-stock-foto
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A manual of operative surgery . I FIG. 311.—INCISIONS FOR REMOVAL OF BREAST AND CONTENTS OF AXILLA, SHOWINGMODIFICATIONS ACCORDING TO THE AMOUNT OF SKIN REQUIRED TO BE REMOVED. In the left figure the shaded area, the upper and outer quadrant of the breast, indicates thatpart in which scirrhus commences in nearly three out of four cases. In both figures thewound is placed in front of the axilla, and its upper end curves over the pectoralisinsertion. may stand behind the shoulder or on the opposite side of thetrunk. He helps to retract the parts, to hold up the breast whenrequired, and to grasp-stock-foto
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Operative surgery . e malig-nant forms of the disease.As the dissection of theaxilla proceeds the branch-es of the large vessels arecut and tied, and also any thoracic or scapular nerves which interfere with athorough cleansing of the part are cut. The contents of the axilla are nowreflected outward, together with the mamma and pectoral muscles ; a fewlong sweeps of the knife loosen the outer attachments of the mamma, andthe whole infected area is separated from the body in one continuous mass. If there is any reason to suspect an infection of the supraclavicularglands, the vertical incision s-stock-foto
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Operative surgery . Fig. 1238.—Excision of the breast, Halsteds method. Base line. b, a, c. Triangular flap, b, c. vessels should not be postponed, for the clamps occluding them might oftheir own weight drop oif or accidentally be pulled off, or the vessels them-selves might be torn away by the clamps. Furthermore, the clamps—so manyof them—if left on the veins would be in the way of the operator. 12. Having exposed the subclavian vein at the highest possible sub-clavicular point, the contents of the axilla are dissected away with scrupu-lous care, also with the sharpest possible knife. The gl-stock-foto
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The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . used a bit of sponge for thispurpose, but the following experience has shown that sponge is not a safematerial: Case.—Theresa Kops, housewife, aged forty-eight. February 10, 1883.—Ampu-tation of left breast, with evacuation of the contents of the axilla for scirrhus of themammary gland. Wound sutured throughout; drainage by counter-incision throughlatissimus dorsi. Aseptic dressing. After feverless course, first change of dressingson February 21st, when the wound was found u-stock-foto
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The rules of aseptic and antiseptic surgery; a practical treatise for the use of students and the general practitioner . inunder the breast, and the upperincision completes its detachment,except where the lym-phatic vessels, pass-ing along the pecto-ral fold from thebreast to the arm-pit, form a sort of apedicle. The bleed-ing vessels are securedas they are cut, andthe pectoral wound iscovered with a towelwrung out of corros-ive-sublimate lotion,to remaiii under its protection during the removal of the axillary contents.The incision is extended well up the arm into the axilla, and the skin is-stock-foto
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. Modern surgery, general and operative. nthen be more easily and rapidly cleared. The re-moval of the muscle does not impair arm move-ments, and its retention leads to the formation,when healing is complete, of a cord-like band infront of the axilla. (See Douglas Drew, in Brit.Med. Jour., May 17, 1902,) The smah blood-vessels under the minor muscle are carefully sepa-rated from it, are dissected out very clear, and areligated close to the axillary vessels. Having ex-posed the subclavian vein at the highest possiblepoint below the clavicle, the contents of the axilla aredissected away with a s-stock-foto
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. Manual of operative surgery. Fig. 410.—Stewarts Incision. Fig. 411. Every modern operation for cancer of the breast aims at the excision of theskin over the breast along with the breast, the tissues around it which might beinvolved and the lymphatic contents of the axilla. In none of the operationsalready described (Halsteds, Meyers, Kochers, Jacksons) except JacksonsNo. 2, does the incision compel the removal of the skin overlying theaxillary prolongation of the breast. Tansinis method provides for very unusual and complete removal of theskin and for such convenient plastic repair of the wo-stock-foto