. Modern surgery, general and operative. Fig. 889.—Kochers transverse incision Fig. 890.—Isolating the accessory veinsexposing the muscles and median veins of (Kocher). the neck (Kocher). growth is glandular tissue. The operation of enucleation is not suited to theremoval of multiple tumors and it cannot be performed for parenchymatousgoiter or exophthalmic goiter. Intraglandular enucleation is performed asfollows: The thyroid is exposed by an oblique or by a transverse incision. Anincision is made through the capsule of the thyroid gland and through the gland-ular tissue until the cyst or soh

- Image ID: 2AG6KJ2
. Modern surgery, general and operative. Fig. 889.—Kochers transverse incision Fig. 890.—Isolating the accessory veinsexposing the muscles and median veins of (Kocher). the neck (Kocher). growth is glandular tissue. The operation of enucleation is not suited to theremoval of multiple tumors and it cannot be performed for parenchymatousgoiter or exophthalmic goiter. Intraglandular enucleation is performed asfollows: The thyroid is exposed by an oblique or by a transverse incision. Anincision is made through the capsule of the thyroid gland and through the gland-ular tissue until the cyst or soh
The Reading Room / Alamy Stock Photo
Image ID: 2AG6KJ2
. Modern surgery, general and operative. Fig. 889.—Kochers transverse incision Fig. 890.—Isolating the accessory veinsexposing the muscles and median veins of (Kocher). the neck (Kocher). growth is glandular tissue. The operation of enucleation is not suited to theremoval of multiple tumors and it cannot be performed for parenchymatousgoiter or exophthalmic goiter. Intraglandular enucleation is performed asfollows: The thyroid is exposed by an oblique or by a transverse incision. Anincision is made through the capsule of the thyroid gland and through the gland-ular tissue until the cyst or sohd tumor is reached. As a rule, the tumor canbe recognized by the fact that its color differs from the color of the thyroidtissue. The tumor is turned out by the fingers, a special scoop, the knifehandle, or a dry dissector. In some cases a cyst can be most easily removed if,after exposure, it be incised and emptied and its wall then grasped by strongforceps. A solid tumor should, if possible, be removed intact. The wound ispacked te