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Show or WOUNDED Anremes. 2644 265 or wormnen An'rnnrrfs. upon the lower edge of the ilium; we find the trunk of 2. To cut for the Radial Artery, when it has passed from this artery rising to mount upon the back of the ilium; we the fore part of the wrist, We carry the knife on the outside of the insertion of the Extensor Primi Internodz'i Policis, and the inside of the Extensor Tertii Internodii Policis. Betwixt these tendons the artery lies very deep, and over it the extreme branch of the Muscular Spiral Nerve. We find the artery going close in the notch, betwixt the 0s scaphoides and the trapezium. must observe too, that considerable branches are carried out- wards through the muscle, into which we must cut to ar- rive at the seat of the trunk. In case of a wound of this artery and the formation of a false aneurism, the surgeon has to push his finger decid- edly down upon the trunk of the artery, as it turns over, the notch of the ilium, and compressing it there, he may gain time to clear away the blood. '1' HF. ULNAR ARTERY. Ulnar Artery. 1. In the middle of the fore arm the artery lies under the fascia and under the margin of the Flexor Ulnaris and Flexor Digz‘l'torum Sublimis, rather more un‘ .m-v‘s" "mm-"w . ~ der the margin of the last. To tie the artery, we should have to cut down betwixt these muscles. The Ulnar Nerve lies on the ulnar edge of the artery. 2. To cut for the ulnar artery near the wrist. We car. ry the knife upon the radial side of the Flavor Carpi UZzmris ,- we‘raise the fascis, which binds down the tendon; but still we have another layer of the fascia, under which the artery and its Vmine C'omz'tcs lie. The nerve is lying still more under the tendon of the ulnaris than the artery, but close upon the artery. THE ISCIIIA TIC ARTERY. To hit upon the isehiatic artery as it comes out from the pelvis, begin the incision by the side of the sacrum, three fingers' breadth from the posterior spinous process of the Hium ; and carry it down in the length of the fibres of the gluteous maximus, to the outside of the tnberosity of the ischium. Even in a thin man, the artery lies two inches deep. Now, pushing in the finger as if under the sacrum, we there feel the acute edge of the sacro-sciatic ligament ; on the lower margin of the sacro-sciatie hole, (which is distinctly felt with the finger amongst the looser parts,) the artery is felt crossmg the ligament obliquely; near it, upon its outer side, are some lesser nerves ; the great sciatic nerve is removed an inch from it. ' TO TAKE UP THE FEMORAL ARTERY LO‘V IN THE THIGH. TO CUT FOR THE ANTERIOB. TIBIAL ARTERY, HIGH IN THE FORE r..~v»"flj‘ -W‘m-Ja‘w .-+ a".-- a" PART OF THE LEG. See the operation for I'opliteal Aneurism, Volume I. page 54:. two fingers' breadth beneath the posterior spine of the ill- THE anterior tibial artery comes through betwixt the bones, one inch.below the projection of the knob of the fibula. To find it we cut through the strong fascia which is extended betwixt the heads of the tibia and fibula; we then cut by the edge of the peroneus Ion-gas, and follow the partition fascia which is betwixt this muscle and the head of the ExZensor Digitorum Communis. This partition carries us deep ' um .; we cut through the gluteus maximus and medius just we find the artery lying on the. interrosseous ligament. TO FIND THE GLUTEAL ARTERY. 'l'o strike upon the gluteal artery, we cut in the direc~ tion of the fibres of the gluteus maximus, beginning about vor. 11. I. ‘2. re Tm"? wan) by |