File:The breast- its anomalies, its diseases, and their treatment (1917) (14757064145).jpg

Identifier: breastitsanomali00deav (find matches)
Title: The breast: its anomalies, its diseases, and their treatment
Year: 1917 (1910s)
Authors: Deaver, John B. (John Blair), 1855-1931
Subjects: Breast Breast X-rays Breast Diseases Breast Neoplasms Radiotherapy
Publisher: Philadelphia, P. Blakiston's Son & Co
Contributing Library: Francis A. Countway Library of Medicine
Digitizing Sponsor: Open Knowledge Commons

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sewn with interrupted sutures of fine silkworm-gut, silkor horsehair. Sterile pads made of non-absorbent cotton covered with several thicknesses of gauzeare placed in the axilla in sufficient number to hold the arm at an angle of approximately70 degrees. The incision is covered with sterile gauze and a figure-of-eight bandage isapplied to include the shoulder of the affected side, the axilla and the chest. Thisbandage, which should be 6 inches in width, is composed of eight thicknesses of gauze. The patients body must be well protected with blankets on her return from theoperating room. The temperature of the recovery room should be approximately 75°F.Hot water bottles protected by towels are applied to the body. Five hundred cubic3S 594 THE BREAST centimeters of normal saline solution is administered into the subcutaneous tissues ofthe thighs (anterior surface), if the patient is much depressed. After complete recovery from the effects of the anesthesia, the patient is taken to the
Text Appearing After Image:
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 after operation, when the stitches are usually removed, after which they are allowed CARCINOMA 595 to be up and about and at the end of the second week they are permitted to leavethe hospital. Sitting up in bed is insisted upon as soon as the patient has fully recov-ered from the effects of the anesthetic. The time of the first dressing will depend uponthe amount of serous and bloody oozing from the wound but is usually done on the sec-

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