AXILLARY SPACE 



29 



arising from the anterior, and the latter from the posterior aspect 

 of the axillary trunk. 



After the lower part of the axilla has been thoroughly cleaned, 

 the pectoralis minor must be divided, about midway between its 

 origin and insertion, and the two parts must be turned aside. 

 When that has been done the upper subscapular nerve must be 

 found as it enters the upper part of the subscapularis, and then 

 the remaining areolar tissue must be removed from the axillary 

 space, the trunks and branches of the axillary vessels and nerves 

 must be thoroughly cleaned, and the contents of the space must 

 be studied in detail. 



Right jugular 

 lymph trunk 



Right subclavian 



lymph trunk 



Right lymph. _ 



duct 



Superior anterior 

 mediastinal lymph glan " 



Thoracic duct 



Sternal lymph glands 

 of right side 



Sternal lymph glands of left sid 



Inferior deep cervical 

 lymph glands 



Infraclavicular lymph 

 glands 



nterpectoral lymph 

 gland 



Anterior axillary 

 lymph glands 



Central 

 7 "axillary 



lymph glands 



ft mamma 



Lymph vessels going to join 

 lymph vessels of abdomen 



FIG. 14. Diagram of the Connections of the Lymph Vessels of 

 the Mamma. 



Lymphoglandulae Axillares (Axillary Lymph Glands). 



The lymph glands in the axillary region are spoken of, 

 collectively, as the axillary glands, but for convenience of 

 description, and to facilitate a more precise knowledge of 

 their connections and associations, they are subdivided into 

 several subordinate groups. Some of the glands have been 

 removed as the dissection proceeded, and others are so small 

 that they may have escaped the attention of the dissector; 

 but if he has followed the directions given above he will 

 have noted at least four groups of glands, (i) A lateral or 

 brachial group consisting of six or more glands, which lie 



