Text book of abdominal surgery : a clinical manual for practitioners and students . to raise the opposite side, and thus enlarge thespace through which the incision is to be made by causing alateral curvature of the spinal column. Before commencing theincision, the last rib is to be found, and it must be remembered,that the twelfth rib may vary in length on the two sides. It isof importance to be perfectly certain that the twelfth rib hasbeen found, because if a mistake were made and the eleventhtaken as the guide, the pleura which is attached to this ribmight easily be opened, should it be fo

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Text book of abdominal surgery : a clinical manual for practitioners and students . to raise the opposite side, and thus enlarge thespace through which the incision is to be made by causing alateral curvature of the spinal column. Before commencing theincision, the last rib is to be found, and it must be remembered,that the twelfth rib may vary in length on the two sides. It isof importance to be perfectly certain that the twelfth rib hasbeen found, because if a mistake were made and the eleventhtaken as the guide, the pleura which is attached to this ribmight easily be opened, should it be fo Stock Photo
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https://www.alamy.com/licenses-and-pricing/?v=1 https://www.alamy.com/text-book-of-abdominal-surgery-a-clinical-manual-for-practitioners-and-students-to-raise-the-opposite-side-and-thus-enlarge-thespace-through-which-the-incision-is-to-be-made-by-causing-alateral-curvature-of-the-spinal-column-before-commencing-theincision-the-last-rib-is-to-be-found-and-it-must-be-rememberedthat-the-twelfth-rib-may-vary-in-length-on-the-two-sides-it-isof-importance-to-be-perfectly-certain-that-the-twelfth-rib-hasbeen-found-because-if-a-mistake-were-made-and-the-eleventhtaken-as-the-guide-the-pleura-which-is-attached-to-this-ribmight-easily-be-opened-should-it-be-fo-image339883780.html
Text book of abdominal surgery : a clinical manual for practitioners and students . to raise the opposite side, and thus enlarge thespace through which the incision is to be made by causing alateral curvature of the spinal column. Before commencing theincision, the last rib is to be found, and it must be remembered,that the twelfth rib may vary in length on the two sides. It isof importance to be perfectly certain that the twelfth rib hasbeen found, because if a mistake were made and the eleventhtaken as the guide, the pleura which is attached to this ribmight easily be opened, should it be fo
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Text book of abdominal surgery : a clinical manual for practitioners and students . to raise the opposite side, and thus enlarge thespace through which the incision is to be made by causing alateral curvature of the spinal column. Before commencing theincision, the last rib is to be found, and it must be remembered,that the twelfth rib may vary in length on the two sides. It isof importance to be perfectly certain that the twelfth rib hasbeen found, because if a mistake were made and the eleventhtaken as the guide, the pleura which is attached to this ribmight easily be opened, should it be found necessary to enlargethe incision. Commencing a little below the twelfth rib, and immediatelyoutside the mass of the erector spina? muscle, the incision iscarried for at least three inches downwards and forwards,the exact line depending on the amount of space between theribs and the ileum of the patient. The incision is deepeneduntil the tunica adiposa is divided and the capsule of the kidneyhas been reached, scissors being used for this purpose, and the NEPHR ORRAPHY. ?63. straight line being kept by the help of forceps, as describedin making the ordinary incision through the linea alba. Assoon as the capsule is reached or before theincision is completed in its whole depth, if thebleeding be profuse, all the blood vessels aresecured by catch forceps, and they are twistedor tied at once to avoid inconvenience fromthe presence of the forceps. When the incisionhas been completed, the assistant, with his handon the abdomen, pushes the kidney, whichmight and probably would be out of reach onaccount of the position of the patient, back-wards, upwards, and against the wound, andhe must continue this abdominal pressureuntil the stitches have been introduced. Forsuturing the kidney a short curved needlewith needle-holder is required. For this pur-pose there is no better instrument than that smss needle-holdek. , . ., (One-third size.) 01 Marion Sims, though Haireciorn s is also conv

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