A paper read before the Hunterian Society at a discussion upon the present methods of treating tuberculosis. Section 5. The surgical aspect / opened by W.K. Treves.

  • Treves, W. Knight (William Knight), 1843-1908.
Date:
1903
Catalogue details

Licence: In copyright

Credit: A paper read before the Hunterian Society at a discussion upon the present methods of treating tuberculosis. Section 5. The surgical aspect / opened by W.K. Treves. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    this manner set the glands free. I always cut on the capsule and more superficially than the deepest part exposed. If the deep attachments are rigidly fixed I slice the gland mass off, and carefully scrape and clean the small bit of capsule left. In the submaxillary region, for some reason or other, tuberculous glands are as a rule more moveable than elsewhere. For the superficial ones the best plan is to get the tips of the fingers behind or beneath the glands and to tilt them on to the lower jaw, the gland is kept by the fingers in this position and can generally be turned out through an incision on to gland without much dissection. The cut falls back out of sight under the jaw. Of course this cannot be done with the deeper glands, nor in those fixed by old adhesions. The worst part of the neck from which to remove glands is the lower part of the posterior triangle just above the collar bone. There is a troublesome network of veins in this situation, the glands often are found extend- ing beneath the collar bone and close on to the pleura. Also after removal a cavity is left, which owing to the existence of the collar bone it is difficult to close by pres- sure. For the avoidance of scars the sewing up Submaxillary region. Base of poste- rior triangle.