OPERATI 



911 



OPERATIONS 



jr amputation at the hip-joint ; anteroposterior flaps 

 made by cutting from without inward. 2. For 

 nputation at the neck of the humerus ; it is done by the 

 il method, the incision being commenced beneath the 

 jmion process and carried to the inner side of the 

 1, then beneath to the outside, where it is met by 

 ather incision begun at the same point as the first. 3. 

 yc ligation of the first part of the axillary artery ; an 

 cision is made in the course of the artery through the 

 Ural fold of the armpit, with complete division of 

 soft parts. Guyon's, for amputation of the leg ; 

 ara malleolar division of the bones and covering of the 

 linal part of the stump with the tissues of the back of 

 heel. Hagedorn's : I. F 'or double hare-lip ; the 

 t parts covering the premaxillary bone are pared, also 

 : margins of the cleft, and the parts are then brought 

 jether by sutures. 2. For single hare-lip ; the mar- 

 is of the gap are isolated by incisions and removed, 

 the raw surfaces are brought together. Hahn's : 

 For gastrostomy ; the parietal incision is made 

 illel with the lowest rib, and the stomach is opened 

 rough the eighth intercostal space. 2. For intuba- 

 <n of the pylorus ; gastrotomy is performed and the 

 is carried through the stenosed pylorus into the 

 iiodenum and left there. 3. I" or knock-knee ; osteot- 

 iv on the outer as well as on the inner side of the 

 4. For nephrorrhaphy ; the capsule of the 

 ley is exposed by an incision in the loin between 

 ilium and the last rib. In the first operation sutures 

 Ere carried through the perinephric fat alone ; later, 

 ey were placed in the capsule proper. Halpin's, 

 extirpation of the lacrymal gland : a curved inci- 

 an is made through the middle of the eyebrow, with 

 loval of the gland, and drainage. Halsted's ( W. 

 I. For the radical cure of inguinal hernia ; the 

 le as Bassini's operation. 2. Y ox suture of the intes- 

 a modification of Le ruber f s suture in which each 

 tch includes not only the whole muscular coat, but 

 a little of the submucous coat. Hancock's : 

 I . For amputation through the foot ; a modification of 

 joff s operation in which the sawn surface of the 

 os calcis is brought in contact with the transverse sec- 

 tion of the astragalus. 2. For glaucoma ; intraocular 

 ciliary myotomy. Handyside's, a method of per- 

 forming ovariotomy ; the ligatures of the pedicle are 

 carried through Douglas's pouch into the vagina. 

 Hardie's, lor division of a contracted palmar fascia ; a 

 modification of Goyrand's open method, in which an 

 incision is made across the hand above the principal 

 transverse fold of the palm and over the tense fascia. 

 Harrison's (A*.): 1. For internal urethrotomy; a 

 ecial urethrotome is used to divide the stricture from 

 rithout inward. 2. For puncture of the bladder 

 rough the prostate gland ; a special straight trocar 

 introduced in the middle line 3+ of an inch in front 

 * the anus, and pushed through the prostate into the 

 Ider. Hasner's, for blepharoplasty ; two tongue - 

 te flaps are made, one above, and the other below 

 ! eye, to supply the deficiency in the lid. Hawkins', 

 contraction of the palmar fascia ; one transverse in- 

 ion in the palm, to divide the large fascial bands, and 

 licircular incisions at the base of the little and ring- 

 jers, to divide the digital prolongations of the fascia, 

 ly's : 1 . For stricture of the lacrymal duct ; the pas- 

 je of a special probe, having a hook at one extremity. 

 For strabismus ; conjunctival incision and tenotomy. 

 Heart's, for excision of the tongue ; the section 

 through the tongue is made with an ecraseur. Heath's, 

 for fixity of the lower jaw ; division of the ascending 

 ramus beneath the masseter with a saw introduced 

 through the mouth by means of a small incision above 

 the last molar tooth. Heaton's (o".), for the radical 



II 



cure of inguinal hernia ; the subcutaneous injec- 

 tion of an astringent solution to produce irrita- 

 tion and contraction of the tissue about the rings. 

 Hegar's : I . For Colporrhaphy for lacerated peri- 

 neum ; also called the median operation ; it .consists 

 in a triangular denudation upon the dorsal wall of 

 the vagina, the base of the triangle being parallel 

 with the lower margin of the vagina, and the apex 

 reaching almost to the cervix, an oval denudation 

 being made upon the skin-perineum. 2. For oophor- 

 ectomy ; the same as Battey's operation. Hegar- 

 Tait's, for oophorectomy ; a misnomer for Tail's oper- 

 ation. Heineke's: 1. For exostosis of the external 

 meatus of the ear ; removal by means of 'a mallet 

 and gouge. 2. For pyloric obstruction ; the ventral 

 wall of the strictured pylorus is divided in the long 

 axis of the canal, and the incision is carried for the 

 distance of one inch into the healthy tissue ; the 

 incision is then sutured in a transverse direction by 

 catching the center of the cut on either side and mak- 

 ing traction. Heineke-Mikulicz's, for pyloric obstruc- 

 tion ; the same as Heineke' s operation. Heisrath's, for 

 trachoma ; the excision of a moderately broad piece 

 of the transition-fold of the conjunctiva, the incision 

 to include the subconjunctival tissue and a portion of 

 the tarsus. Heliodorus', for the radical cure of in- 

 guinal hernia ; after reduction of the hernia the sac is 

 twisted and incised, gentle traction being made so 

 that sufficient of the sac may be removed. Henry's, 

 for varicocele ; a modification of Cooper s crperation ; 

 the application of a specially devised clamp, from 

 above downward, in the line of the raphe, and re- 

 moval of the redundant skin. Herzenstein's, for 

 trichiasis ; this is especially applicable in the partial 

 forms ; a ligature is passed subcutaneously around the 

 roots of the offending cilia, and allowed to cut its way 

 out. Herzfeld's, for carcinoma of the uterus ; extir- 

 pation of the uterus through -a sacral opening. Heur- 

 teloup's, for varicocele ; a modification of Cooper s 

 operation; it consists in resection of the redundant 

 scrotum, together with a portion of the veins behind. 

 Hey's : I . For amputation through the foot ; the same 

 as Lisfranc's operation, except that the internal cunei- 

 form bone is sawn through in a line with the articulation 

 of the second metatarsal bone, instead of being disar- 

 ticulated. 2. For amputation of the leg ; the amputa- 

 tion is made in the middle of the leg by a long pos- 

 terior flap, cut by transfixion, and a slightly shorter 

 anterior one. High Operation : 1. Supra-pubic 

 lithotomy. See Lithotomy. 2. Delivery by forceps of a 

 fetus, the instrument being applied at the superior strait. 

 Hill's (B.), for internal urethrotomy ; it is done with 

 a modification of Maisonneuve' s urethrotome. Hil- 

 ton's: I. For amputation of the penis; the spongy 

 body is divided about l£ inch in front of the cavern- 

 ous portion, splitting it longitudinally and uniting 

 the lateral flaps to the skin. 2. For opening an 

 axillary abscess ; an incision is made through the skin 

 with a knife ; then a grooved director is pushed into 

 the deeper structures until pus escapes. 3. For fissure 

 of the anus ; an incision is made from without, a 

 sharp-pointed bistoury being inserted beneath the 

 base and the point made to protrude in the bowel. 4. 

 For obturator hernia ; it is done by abdominal section 

 and withdrawing the intestinal loop from within. 

 Himly's: I. For corectopy ; the same as Adams' 

 operation. 2. For iridodialvsis ; the same as Scarpa's 

 operation, except that the needle is introduced through 

 the cornea. 3. For symblepharon ; preliminary per- 

 foration of the adhesion along the fornix, and the pass- 

 ing of a lead wire along the canal so formed, thus 

 converting a posterior into an anterior symblepharon, 



