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Photo by Thos. Native stock owners of some parts of Canada know this condition as "fish knees" because of the presence of the ruptured end of the extensor tendon which is found coiled in the cavity of the enlargements caused by the ruptured tendon. Local practitioners have treated the condition by incising the swollen mass and removing the part of tendon contained within such cavities.
A curious development of this period is found in the mottled ware from Vasiliki, where the decoration was accomplished neither by incising nor by painting a design, but by a method of firing in which the vases, first painted red, were so placed that the hot coals actually came into contact with the vases at certain points, and produced black patches upon the red paint.
As there is little tendency to spontaneous cure, and as the aneurysm is liable to increase in size and finally to rupture, operative treatment is usually called for. This is carried out on the same lines as for aneurysmal varix, and at the same time incising the sac, turning out the clots, and ligating any branches which open into the sac. If it can be avoided, the vein should not be ligated.
On incising the sheath of the nerve this bundle can be readily dissected up and its identity confirmed by stimulating it with a very weak galvanic current. An inch or more of the bundle is then resected. Nerves are liable to be cut or torn across, bruised, compressed, stretched, or torn away from their connections with the spinal medulla.
About a year later the man consulted Camper, who unsuccessfully attempted to extract the piece of wood; but by incising the fistula it was found that two calculi had formed about the wooden pieces, and when these were extracted the patient recovered.
He lays a good deal of stress on the necessity for freeing the vein thoroughly and lifting it well out of tissues before incising it. In old cases special care must be taken not to tear the vein. Minute details of technique are often found in these old authors. Abulcasis, for instance, treats of adherent fingers with up-to-date completeness.
It is especially difficult to decide upon the manner of handling such cases where the tarsal joint is wounded, although one hesitates to invade any joint to the extent of incising its capsule, unless there is urgent need of so doing.
If there is marked disease of the vessel, Matas' operation is not possible and recourse is then had to ligation of the artery just above the sac. Extirpation of the Sac The Old Operation. The procedure which goes by this name consists in exposing the aneurysm, incising the sac, clearing out the clots, and ligating the artery above and below the sac.
"After trying all the means in my power for eight or ten months to close the orifice, by exciting adhesive inflammation in the lips of the wound, without the least appearance of success, I gave it up as impracticable, in any other way than that of incising and bringing them together by sutures; an operation to which the patient would not submit.
This is the game I want, a corpulent prey, of a size suited to the Scolia and, what is more, in splendid condition, artistically paralysed according to rule by a master among masters. As usual, I install my three Ephippigers in a glass jar, on a bed of mould; I remove the egg of the Sphex and on each victim, after slightly incising the skin of the belly, I place a young Scolia-grub.
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