OPERATION 



393 



OPISTHIOXASIAL 



fixation consists in suturing the round ligaments and 

 a portion of the broad ligaments instead of the uterine 

 fundus. O., Park's, for spina bifida: After the 

 excision of the sac and the ligated stump is pushed 

 back into the canal, a thin piece of sterilized celluloid, 

 so cut that its edges can be sprung in under the bony 

 margin, is fitted into the opening of the spinal canal. 

 Phelp's Method for varices of the leg, consists in 

 cutting down over the varices and the application of mul- 

 tiple ligatures. O., Posadas- Bobrow, the evacuation 

 of echinococcus cysts and closure of the cavity by suture, 

 called echinococcotomy. O., Radical, an operation for 

 a complete cure of a morbid condition. O., Rehn's, 

 for relief of cancer of the rectum : A V-shaped incision 

 is made, one leg of the V embracing the entire width 

 of the sacrum below the third foramen, while the other 

 passes along the left side of the sacrum and coccyx. 

 This osteointegumental flap when hinged exposes the 

 diseased rectal cylinder in a most satisfactory way. 

 (Hupp.) O., Ries-Clarke's, for carcinoma of the 

 cervix of the uterus : The celiotomic removal of the 

 entire uterus with the broad ligaments, uterovesical 

 ligaments, mesorectum, etc., with any involved glands. 

 O., Robson's (Mayo), for spina bifida, consists in ex- 

 cision of the whole or part of the sac. O., Rup- 

 precht's, for removal of carcinomatous inguinal glands. 

 The line of incision extends from the pubic spine to the 

 anterior superior iliac spine, the ends being joined by 

 incisions passing below the glands. This flap is entirely 

 removed ; if necessary, the vena saphena may be 

 ligatured. O., Rydygier's, circular pylorectomy when 

 the incision is made in the linea alba and the duo- 

 denum is sutured directly to the wound made by 

 resecting the stomach. O., Salzer's, excision of the 

 whole of the third division of the fifth nerve. O., 

 Salzer's, for the radical cure of femoral hernia, 

 consists in stitching Poupart's ligaments to the pectineal 

 fascia. O., Schede's, in chronic empyema, resection 

 of the thorax. O., Schede's, for varices of the leg, 

 consists in a circular incision around the leg, one cuff 

 rolled up and another down, with the idea of reaching 

 the different venous branches and removing them. 

 Senn's (E. J.i Method of Gastrotomy consists 

 in forming an automatic valve from the stomach-wall 

 by constricting a cone near its apex with purse-string 

 suture, and after incising the apex inverting it into the 

 stomach and securing it there by Lembert suture. O., 

 Shield's, for the cure of mastoid disease, consists in 

 raising a flap of skin behind the auricle, removing the 

 diseased bone and caseous areas, and finally pressing 

 down the flap of skin into the cavity. O., Sigaul- 

 tean. Synonym of Symphyseotomy. Ssebanejew- 

 Frank's Method of Gastrotomy. See Frank" s 

 Method. O., Story's, for entropion and trichiasis : 

 The insertion of a piece of mucosa which entirely and 

 permanently removes the cilia from contact with the 

 cornea. O., Surmay's, jejunostomv. O., Talma's, 

 suture of the omentum to the abdominal wall for relief 

 of ascites due to cirrhosis of the liver. O., Vitrac's, 

 See Ectokelotomy. O., Weir's ( R. F.), for the 

 treatment of hallux valgus, consists in a curved incision 

 which admits of the ready extirpation of the bursa and 

 removal of any sesamoid bones, of the dissecting out 

 the dorsal extensor tendon, which is cut near its 

 attachment and secured to the periosteum at the inner 

 side of the base of the first phalanx. It leaves a 

 cicatrice not made sensitive by shoes. O., Weir's, 

 appendicostomy, suturing the tip of the appendix to 

 the abdominal wall, and by opening the appendix at 

 the end gaining access to the cecum for the purpose of 

 irrigating the lower bowel in cases of ulceration of the 

 large intestine. O., White's, for reduction of disloca- 



tion of humerus : That of applying the foot in the 

 axilla, usually ascribed to Sir A st ley Cooper, but properly 

 accredited to Charles White, of Manchester (1768). 



Ophryoalveoloauricular ( of-re-o-al-ve-o-lo-aw-rik* -u- 

 lar). Applied to an angle formed by the ophryon, 

 alveolar point, and auricular point. 



Ophryosis (o/-re-o / -sis) [ixppic, eyebrows]. Spasm of 

 the eyebrow. 



Ophthalmectomy (of-thal-mek / -to-me) [696a/ tec, eye ; 

 ektoutj, excision]. Excision of the eye. 



Ophthalmemicrania {of-thal-tnem-ik-ra'-ne-ah). See 

 Amaurosis, Epileptoid. 



Ophthalmia. (See Illus. Diet.) O. arida, xeroph- 

 thalmia. O. bellica. See O., Military (Illus. Diet.). 

 O. epiphora, hygrophthalmia, ophthalmia with ex- 

 cessive lacrimation O. externa, O. mucosa, con- 

 junctivitis. O., Jequiritic, O., Jequirity, purulent 

 conjunctivitis due to the use of a solution of jequirity 

 in treatment of trachoma. O. nodosa, conjunctivitis 

 induced by caterpillar hairs, characterized by the for- 

 mation of round gray swellings where the hairs are em- 

 bedded. O. pyorrhoica, purulent conjunctivitis. 



Ophthalmodonesis (o/-thal-mo-do-ne / -sis) [boda/fiog, 

 eye ; dovrjoic, a trembling]. Voluntary tremulous or 

 oscillatory movement of the eyes. 



Ophthalmoleukoscope \of-thal-molu r -ko-skbp) [o<p0a?.- 

 [io<;, eye ; /(vkoc, white ; OKOTriii', to view]. An in- 

 strument for testing color sense by means of polarized 

 light. 



Ophthalmomyositis {of-thal-mo-mi-o-si' -Us). See Oph- 

 thalmomyitis (Illus. Diet.). 



Ophthalmopathy {of-thal-mop'-ath-e) [6o6d/.uoc, eye; 

 ~aOoc, disease]. Any disease of the eye. O., Ex- 

 ternal, an affection of the eyelids, cornea, conjunctiva, 

 or muscles of the eye. O., Internal, that affecting 

 the deeper structures of the eye. 



Ophthalmophacometer, Ophthalmophakometer (of- 

 thal-mo-fa-kom'-et-ur) [boffn/uog, eye ; ooaoc, lens; 

 jxeTpov, measure]. An instrument for measuring the 

 curvature radius of the crystalline lens. 



Ophthalmophlebotomy {of-thal-mo-fleb-ot'-o-me). See 

 Phlebophthalmotomy (Illus. Diet.). 



Ophthalmoplegia. (See Illus. Diet.) O. externa. 

 (See Illus. Diet.) 2. Of Hutchinson, same as O., 

 Progressive (Illus. Diet.). O., Graux Fereol Type 

 of, associated paralysis of the muscles affecting the 

 right internal of one side and the right external of the 

 opposite side. O. intima (Hutchinson). See O. in- 

 terna (Illus. Diet.). O., Parinaud's, paralysis of the 

 external rectus of one side and spasm of the internal 

 rectus of the other side; it is of peripheral origin. O., 

 Sauvineau's. paralysis of the internal rectus muscle 

 of one side and spasm of the external rectus of the op- 

 posite side. This affection is the reverse of Parinaud's 

 ophthalmoplegia. 



Ophthalmorrhea. (See Illus. Diet.) O. externa, a 

 discharge from the eyelids. O. interna, a discharge 

 from the eyeball. 



Ophthalmospasm {of-thal-mo-spazm') [bcda/.udf, the 

 eye ; a-acruoc, a spasm]. Ocular spasm. 



Ophthalmothermometer of-thal-mo-thur-mom'-et-ur). 

 A device for recording local temperature in eye dis- 

 eases. 



Opifex {opf-e-fex) [opus, work; facere, to make; pi., 

 Opifices~\. A maker. O. circumductionis. See 

 Obliquus superior, Muscles, Table of (Illus. Diet.). 



Opiomania {o-pe-o-via'-ne-ah) [opium; fiavia, mad- 

 ness]. A morbid desire for opium. 



Opisthiobasial. (o-pis-theo-ba' -se-al). Relating to or 

 uniting the opisthion and basion. 



Opisthionasial (o-pis-the-o-na'-ze-al). Uniting the opis- 

 thion and nasion. 



