. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, etc.. ree or four inches in length (Fig. 338, B orC). The steps of the operation are the same as for liga-tion of the third portion, and when the scalenus anticusmuscle has been exposed, it is divided upon a director ; thephrenic nerve, which lies upon its anterior aspect, is to beavoided. The incision for the third portion of the subclavian artery

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. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, etc.. ree or four inches in length (Fig. 338, B orC). The steps of the operation are the same as for liga-tion of the third portion, and when the scalenus anticusmuscle has been exposed, it is divided upon a director ; thephrenic nerve, which lies upon its anterior aspect, is to beavoided. The incision for the third portion of the subclavian artery
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Image ID: 2AFPFPD
. Minor surgery and bandaging; including the treatment of fractures and dislocations, the ligation of arteries, amputations, excisions and resections, intestinal anastomosis, operations upon nerves and tendons, tracheotomy, intubation of the larynx, etc.. ree or four inches in length (Fig. 338, B orC). The steps of the operation are the same as for liga-tion of the third portion, and when the scalenus anticusmuscle has been exposed, it is divided upon a director ; thephrenic nerve, which lies upon its anterior aspect, is to beavoided. The incision for the third portion of the subclavian arteryis the same as for the second portion (Fig. 338, B or C).The skin and platysma being divided, the external jugularvein is exposed and drawn to one side or divided betweentwo ligatures; the superficial fascia is next divided upon adirector; the posterior belly of the omo-hyoid muscle is 29 450 OPERA TJONS. next found and drawn upward and outward ; the outerborder of the scalenus anticus is next felt for and followeddown to the tubercle of the first rib—the artery lies againstthis, between it and the lowest bundle of the brachialplexus. The artery is next denuded with the director,and the needle is passed from below, care being taken not Fig. 339.. Ligation of subclavian and lingnal arteries. (Bryant.) to include the lowest bundle of the brachial plexus in theligature (Fig. 339). Ligation of the Vertebral Artery.—The incision forthe ligation of the vertebral artery is three or three and ahalf inches in length, parallel with the anterior edge ofthe sterno-cleido-mastoid muscle, ending an inch above LIGATION OF THE COMMON CAROTID ARTERY. 451 the clavicle (Fig. 338, /)). The anterior edge of thesterno-cleido-mastoid being exposed, the middle cervicalfascia is divided and the carotid artery and jugular veinare exposed and drawn inward. The gap between thelongus colli muscle and the scalenus anticus muscle isnext felt for about an inch below the carotid tubercle ; thefascia coveri

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