A Handbook of Operative Surgery and Surgical Anatomy

A Handbook of Operative Surgery and Surgical Anatomy with Chapters on Instruments presents the methods, techniques, and instruments used in operative surgery and surgical anatomy.

The book covers broad aspects of surgical procedures and methods that are practiced in operating rooms. The text provides instructions and details on operations on various parts of the body such as the stomach, neck, central and sympathetic nervous systems, bones, and thorax. Methods of amputations, ligation of arteries, selection and use of instruments for operations and the electro-surgical methods of operation are elaborated as well.

Surgeons, physicians, and those working in medical operating rooms will find the text invaluable.

Chapter I. General Principles

The knife

Incisions

Sutures and Ligatures

Silk

Catgut

Kangaroo-Tendon

Silkwormgut

Horse Hair

Wound Suturing

Different Methods

Interrupted

Continuons

Blanket

Subcuticular

Tension or Relaxation

Metallic

Ligation of Arteries

False or Granny Knot

Reef or Square Knot

Friction Knot

True or Surgeon’s Knot

Transfixing Ligature

Staffordshire Knot Ligature

Interlocking or Chain Ligature

Operation

Position of the Patient

Line of Artery

Incisions

Exposure and Identification of Arteries

Opening the Sheath

Passing the Ligature

Tying the Knot

Chapter II. Ligation of Arteries

Preliminary Remarks

Arteries of the Upper Extremity

Surgical Anatomy

Subclavian

Axillary

Brachial

Ulnar

Radial

Ligation of Subclavian

Axillary

Brachial

Radial

Ulnar

Arteries of the Head and Neck

Middle Meningeal

Common Carotid

Internal Carotid

External Carotid

Inferior Thyreoid

Lingual

Facial Artery

Temporal

Vertebral

Internal Mammary

Intercostal

Chapter III. Ligation of Arteries (Contd.)

The Abdominal Aorta and Iliac Arteries

Abdominal Aorta

Common Iliac

Internal Iliac

Sciatic Branch of the Anterior Branch of the Internal Iliac

Internal Pudic of Internal Iliac

External Iliac

Arteries of the Lower Extremities

Femoral

Popliteal

Anterior Tibial

Dorsalis Pedis

Posterior Tibial

Chapter IV. Operation on Nerves

Exposure of the Nerves of Head and Neck

Supra-Orbital

Infra-Orbital

Facial

Spinal Accessory

Injection of the Gassarion Ganglion

Phrenic

Exposure of the Nerves of the Upper Extremities

Median

Ulnar

Musculo-Spiral

Exposure of the Nerves of the Lower Extremities

Sciatic

Common Peroneal

Chapter V. Operations on Tendons and Muscles

Tendons

Tenotomy

Tendo Achillis

Tibialis Posticus

Tibialis Anticus

Hamstring Tendons

Peronei Tendons

Sternomastoid

Muscles

Myotomy

Myectomy

Myoplasty

Myorrhaphy

Muscle Lengthening

Muscle-Slide Operations

Chapter VI. Amputations

Methods of Amputation

Circular

Modified Circular

Oval Method

Flap Methods

Racket Method

Osteoplastic Method

Aperiosteal Method

Tendinoplastic

Musculoperiosteal

Disarticulation

Characteristics of Good Amputations

Hæmorrhage

Chapter VII. Amputations of the Upper Extremity

The Fingers of the Thumb

Terminal Phalanx

Second Phalanx

Metacarpophalangeal Joint

Amputation of Index and Little Fingers by Modified Racket Method

Index Finger

Little Finger

Amputation of Thumb by Disarticulation through the Metacarpophalangeal Joint

Disarticulation of Index Finger with its Metacarpal

Disarticulation of Little Finger with its Metacarpal

Disarticulation of the Thumb with its Metacarpal

Disarticulation of the Two Contiguous Fingers with their Metacarpals

The Metacarpals

Amputation of Fingers and Thumb with the Metacarpals

The Wrist

Amputation of Hand through Wrist-Joint

Disarticulation of Wrist by a Long Palmar Flap

The Forearm

Amputation through Lower Third

Amputation through Upper Third

The Elbow

Amputation of Forearm through Elbow

The Arm

Amputation by Modified Core Method

Amputation by Unequal Antero-Posterior Flaps

Amputation at the Surgical Neck of Humerus

The Shoulder-Joint

Disarticulation

Interscapulo-Thoracic Disarticulation of the Upper Limb with Scapula and Part of Clavicle

Chapter VIII. Amputations of the Lower Extremity

The Toes and Metacarpals

Amputation of Toes

The Terminal Phalanx

Second Phalanx

Metatarsophalangeal Joint

Amputation of Great Toe by Disarticulation at Metatarsophalangeal Joint

Disarticulation of Little Toe at Metatarsophalangeal Joint

Amputation of Other Toes

The Metatarsals

The Foot

Amputation of Foot

Lisfranc’s

Chopart’s

Farabœuf (Subastragaloid)

Syme’s

The Leg

Guyon’s

Amputation through Lower Third of Leg by Long Anterior and Short Posterior Flaps

Amputation through Lower Third of Leg by Short Anterior and Long Posterior Flaps

Amputation of the Middle Third by Antero-Posterior Flaps

Tibiofemoral Osteoplastic Amputation of Leg

Faraboeuf’s Amputation of Leg (at the Seat of Election)

Amputation of the Upper Third by Bilateral Flaps

The Knee-Joint

Stephen Smith

Carden and Lister

Stokes-Gritti

The Thigh

Amputation of Thigh by Large Anterior Flap

The Hip-Joint

Furneaux Jordan’s Operation

Disarticulation of Hip-Joint by Anterior Racket Incision

Disarticulation of Hip-Joint by Transfixion

Chapter IX. Operation on Cartilages

Resection and Excision of Cartilages

Excision of Semilunar Cartilages of Knee-Joint

Chapter X. Operation on Bones

Excision of Bones

Upper Jaw

Lower Jaw

Half of Lower Jaw

Resection of Ribs

Excision of Astragalus

Osteotomy

Supra-Condylar

Sequestrotomy

Chapter XI. Operations of Fractures

Suturing the Patella

Chapter XII. Operations of Joints

Arthrotomy

Arthrotomy of the Knee-Joints

Excision of Joints

The Upper Extremity

Excision of the Wrist-Joint

Elbow-Joint

Shoulder-Joint

Lower Extremity

Excision of the Ankle-Joint

Knee-Joint

Hip-Joint

Chapter XIII. Operations in the Middle Line of the Neck

Pharyngotomy

Thyreotomy

Laryngotomy

Tracheotomy

High Tracheotomy

Low Tracheotomy

Thyreoidectomy

Chapter XIV. Operations on the Central and Sympathetic Nervous Systems

Operations on the Brain and Spinal Cord

The Cisterns

Trephining

Wagner’s Osteoplastic Resection of the Skull

Middle Meningeal Hæmorrhage

Hæmorrhage from Venous Sinuses

Traumatic Epilepsy

Intracranial Suppuration

Puncture of Ventricles

Cisterna Puncture

Operations on the Spine and Spinal Cord

Lumbar Puncture

Laminectomy

Division of Posterior Nerve-Roots

Operations on the Sympathetic Nervous System

Sympathectomy : For Disorders of Circulation

For Disorders of Visceral Motor Mechanism

For Relief of Pain

Chapter XV. Operations on the Thorax

Injuries of the Thorax

The Heart and the Pericardium (Wound of the Heart)

The Lungs (for Pulmonary T.B.)

Artificial Pneumothorax

Phrenic Avulsion

Thoracoplastic Operations

Empyema

Paracentesis Pericardii

Pericardiotomy

Operations on the Œsophagus

External Œsophagotomy

Chapter XVI. Operations on the Breast

Suppurative Mastitis or Mammary Abscess

Excision of the Breast

Partial Excision of the Breast

Chapter XVII. Abdominal Operations

Laparotomy

Paracentesis Abdominis

Chapter XVIII. Abdominal Operations (Contd.)

Intestinal Sutares

Intestinal Anastomosis

Lateral

End-to-End

End-to-Side

By Artificial Appliances

Chapter XIX. The Peritoneum, Mesentery and Omentum

The Peritoneum

Acute Peritonitis

Chronic Peritonitis

Subphrenic Abscess

Operations on Omentum and Mesentery

Ascites

Chapter XX. Operations on the Stomach

Gastrotomy

Gastrotomy: Frank and Albert’s

Gastroenterostomy

Posterior Gastroenterostomy

Pylorectomy

Gastrectomy

Pyloroplasty

Gastroplasty

Chapter XXI. Operations on the Small Intestines

The Hernias

Inguinal

Bassini’s Method

Halstead

Author’s Modification

Kocher’s

Macewen’s

Other Operations

Willys Andrew’s

Gallie’s Methods

Umbilical Hernia

Ventral

Lumbar

Femoral

Diaphragmatic

Obturator

Sciatic

Perineal and Pudendal

Internal Hernias

Chapter XXII. Operations on the Appendix

Appendicectomy

Appendicostomy

Chapter XXIII. Operations on the Large Intestine

Colostomy: Inguinal

Ascending

Transverse

Cæcostomy

Lumbar

Coloplication for Megacolon

Chapter XXIV. Intestinal Obstruction

Treatment of Acute Ileus

Intussusception

Volvulus

Kinks

Chronic Intestinal Obstruction

Chapter XXV. Operations on the Liver and Gall-Bladder

Operations on the Liver

Abscesses of the Liver

Wounds of the Liver

Cysts of the Liver

Operations on the Gall-Bladder

Exposure of the Gall-Bladder

Cholecystotomy

Cholecystostomy

Cholecystectomy

Cholecystenterostomy

Choledochotomy

Chapter XXVI. Operations on the Pancreas and the Spleen

Exposure of the Pancreas

Acute Inflammation

Cysts

Neoplasms

Chapter XXVII. Operations on the Rectum and Anus

Examination of the Rectum

Congenital Deformities

Occlusions

Rectal Cryptitis

Valvotomy

Abscesses in the Ano-Rectal Region

Ano-Rectal Fistulæ

Anal fissures

Pruritus Ani

Hæmorrhoids

Injection Treatment of Piles

Operations for Prolapse of the Rectum

Operations for Stricture of the Rectum

Excision of the Rectum

Neoplasm

Chapter XXVIII. Operations on the Urogenital Tract

The Kidneys and the Ureters

Exposure of the Kidney

Nephropexy

Nephrostomy

Nephrolithotomy

Nephrectomy

The Ureter

Chapter XXIX. Operations on the Urogenital Tract (Contd.)

The Bladder

Suprapubic Paracentesis of the Bladder

Cystotomy

Suprapubic Cystotomy

Median Perineal Cystotomy

Suprapubic Lithotomy

Litholapaxy

The Prostate

The Seminal Vesicles

Prostatectomy

Young’s Perineal Prostatectomy

Chapter XXX. Operations on the Urogenital Tract (Contd.)

The Urethra

Operations on the Urethra

Internal Urethrotomy

Urethrectomy

External Urethrotomy

External Syme’s Operation

Wheelhouse Operation

Dilatation by Bougies

Hypospadius

Epispadius

The Penis

Circumcision

Amputation of the Penis

Long Dorsal and Short Ventral Flaps Method

Author’s Long Ventral and Short Dorsal Flaps Method

Tapping a Hydrocele

Operations for the Cure of the Hydrocele

Castration

Operation for Varicocele

Chapter XXXI. Electro-Surgical Methods of Operation

The skin

Thyreoid Gland

Thorax

The Breast

Abdomen

Genitourinary System

Central Nervous System

Chapter XXXII. Selection of Instruments for Operations

Chapter XXXIII. Recognition and Use of Instruments

General Instruments

Ligature of Vessels

Amputation

Special Operations

Suturing

Bone Operations

Trephine

Laminectomy

Operations on Nose

Pharynx

Larynx

Oesophagus

Mouth and Jaws

Cleft Palate

Empyema

Stricture Urethra

Suprapubic Lithotomy and Lithotrity

Tenotomy

Herniotomy

Piles

Glossary

Appendix (Figures of Instruments)

Index