Identifier: americanpractic02brya (find matches)
Title: American practice of surgery ; a complete system of the science and art of surgery
Year: 1906 (1900s)
Authors: Bryant, Joseph D. (Joseph Decatur), 1845-1914, ed Buck, Albert H. (Albert Henry), 1842-1922
Subjects: Surgery
Publisher: New York, W. Wood and company
Contributing Library: Columbia University Libraries
Digitizing Sponsor: Open Knowledge Commons

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c trunk which has its origin in the supra-epitrochlear lymph node and lies at agreater depth than any of the lymphatic ves.sels previously mentioned. 26, Lymphatic trunk which has detached itself from the principal group and is passing on towardthe front part of the shoulder, in the interval between the deltoid and the pectoralis major muscles.This trunk, after passing through another node which lies at a lower level (and occasionally is lackingaltogether), terminates in a node that is situated below the clavicle. 27, 27, Section of the skin showing the nodes in which the honphatic vessels previously mentionedterminate. 28, 28, .\xillarj nodes, of which only those which occupy the lowest position are visible in thepicture. 29, 29, Lymphatic vessels of the posterior and lateral portions of the neck. Having reached thelevel of the sterno-eleido-mastoid muscle, they dip down and disappear from view, on their way tojoin the inferior cervical nodes. AMERICAN PRACTICE OF SURGERY PLATE XVIII
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SUPERFICIAL LYMPHATICS OF ONE SIDE OF THE TRUNK OF THE HUMAN BODY. (From Ph. C. Sappey: Dcfcription et Tcnnnijraphie des VaisseauxLymphatiques chez LHomme, etc., Paris, 1885.) SURGICAL DISEASES OF THE LY^IPHATICS. 565 even up the upper arm, showing the course of the lymphatics which have becomeinflamed. This infection may extend so as to involve the lymj^h nodes of theepitrochlea and axilla, and thence extend even farther; and, if it can be stoppedbefore it has reached that involvement, the result is fortmiate. It is particu-larly fortunate that these lymph channels are so near the surface that thesetell-tale marks of inflammation so quickly come to the notice of the surgeon. The method of treatment is first of all to relieve the primary infection; andthe most important way of doing this is to provide an exit for the pus or serum.An incision or a wet dressing, or both, will usually accomplish this. It is to beremembered that the cuts and hang-nails about the fingers, which so often se

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