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    none: Fig. 7. Fistule branchiale latérale sus-sternale. Le trajet fistuleux, détaché par une première incision dans sa moitié inférieure, est attiré au dehors par une petite boutonnière cutanée, afin de permettre la dissection de sa partie supérieure.
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    none: Fig. 8. Kyste branchial séreux ad-thyroïdien faisant saillie dans le sillon glosso-épiglottique / Fig. 9. Kyste branchial séreux ad-hyoïdien repoussant en bas la membrane thyro-hyoïdienne.
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    none: Fig. 10. Torticolis congénital. Ténotomie sous-cutanée du chef sternal du sterno-mastoïdien gauche.
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    none: Fig. 11. Même opération. Dessin schématique montrant le tendon souvlevé avec le doigt de manière à permettre sa section, soit d'arrière en avant, soit d'avant en arrière, sans danger pour les vaisseaux sou-jacents.
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    none: Fig. 12. Myotomie supérieure à ciel ouvert du muscle sterno-mastoïdien. L'incision passe à un travers de doigt de la matoïde.
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    none: Fig. 13. Découverte et section des rameaux mastoïdiens du nerf spinal (dessin d'ensemble.).
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    none: Fig. 14. Id. Aspect du champ opératoire. Dissection de la face postérieure du muscle sterno-cléido-mastoïdien dont le bord postérieur est soulevé ainsi que la peau avec une pince-érigne. La branche du spinal est saisie entre les mors d'une pince.
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  none: 0025 - Page 19 - Tumeurs.
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    none: 0025 - Page 19 - Tumeurs.
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    none: Fig. 15. Lipomes multiples de la nuque, du cou et du tronc.
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    none: Fig. 16. Même cas, vu de trois quarts, montrant le volume des tumeurs.
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    none: Fig. 17. Même cas, vu de dos, montrant le développement symétrique des lipomes.
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  none: 0029 - Page 23 - Technique opératoire de l'extirpation des adénopathies cervicales.
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    none: 0029 - Page 23 - Technique opératoire de l'extirpation des adénopathies cervicales.
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  none: 0030 - Page 24 - Instruments pour les opérations sur le cou, sur les adénites cervicales et pour la suture veineuse.
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    none: 0030 - Page 24 - Instruments pour les opérations sur le cou, sur les adénites cervicales et pour la suture veineuse.
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    none: Fig. 18.
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    none: Fig. 19. Agrandissement par divulsion d'une incision destinée à l'extirpation d'une masse de ganglions carotidiens.
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    none: Fig. 20. Perforation des scalènes pour atteindre par divulsion un ganglion du creux sus-claviculaire.
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    none: Fig. 21. Schéma de la dénudation de la partie superficielle d'un gros ganglion du cou... Fig. 22 / Figure schématique montrant le décollement ellipsoïdal... Fig. 23. Manœuvre de la divulsion. Les ciseaux sont introduits en arrière du ganglion...
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    none: Fig. 25. Divulsion profonde de bas en haut sur la partie latérale gauche du ganglion / Fig. 26. Enucléation du ganglion presque entièrement libéré de ses attaches celluleuses... Fig. 27. Isolement d'un gros ganglion...
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    none: Fig. 28. Pédicule vasculaire d'un ganglion dégénéré. Ce pédicule est très allongé dans le sens vertical / Fig. 29. Le pédicule, aplati par les mors de l'écraseur, est tordu de 180° pour l'application d'une ligature.
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    none: Fig. 30. Extirpation d'un paquet de ganglions carotidiens tuberculeux / Fig. 31. Extirpation de ganglions tuberculeux sus-claviculaires.
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    none: Fig. 32. Extirpation de gommes tuberculeuses sous-cutanées et de ganglions sous-jacents.
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    none: Fig. 33. Extirpation d'un cancer ulcéré de la peau du cou et d'un énorme ganglion dégénéré / Fig. 34. Extirpation d'une ulcération cancéreuse de la muqueuse pharyngée.
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    none: Fig. 35. Même opération. Tamponnement de la plaie. Application d'une sonde oesophagienne à demeure par la voie nasale.
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  none: 0043 - Page 37 - Instruments pour la thyroïdectomie.
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    none: 0043 - Page 37 - Instruments pour la thyroïdectomie.
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    none: Fig. 36.
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  none: 0044 - Page 38 - Technique de la thyroidectomie.
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    none: 0044 - Page 38 - Technique de la thyroidectomie.
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    none: Fig. 37. Goître médian cervical compliqué d'un prolongement thoracique rétro-sternal considérable et impossible à prévoir avant l'opération...
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    none: Fig. 38. Goître parenchymateux unilatéral. Thyroïdectomie. 1er temps. Incision transversale de Doyen (1887) / Fig. 39. Idem. 3e temps. Luxation de la tumeur hors de la plaie.
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    none: Fig. 40. Idem. 4e temps. Ecrasement de tout le pédicule de la tumeur en un seul temps.
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    none: Fig. 41. Ligature au catgut dans le sillon de l'écraseur; section du pédicule entre la tumeur et la ligature.
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  none: 0048 - Page 42 - Topographie du goître.
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    none: 0048 - Page 42 - Topographie du goître.
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    none: Fig. 42. Goître parenchymateux unilatéral / Fig. 43. Goître parenchymateux médian / Fig. 44. Goître parenchymateux de l'isthme et du lobe gauche / Fig. 45. Goître parenchymateux bilatéral...
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    none: Fig. 48. Goître rétro-trachéal / Fig. 49. Goître rétro-oesophagien / Fig. 50. Goître développé dans la partie inférieure du lobe latéral droit / Fig. 51. Goître unilatéral développé aux dépens du lobe droit / Fig. 52. Goître plongeant ou rétro-sternal.
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  none: 0050 - Page 44 - Anatomie chirurgicale de la loge thyroïdienne.
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    none: 0050 - Page 44 - Anatomie chirurgicale de la loge thyroïdienne.
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    none: Fig. 53. Dissection de la loge thyroïdienne dont toute la gaine celluleuse a été extirpée. Le corps thryroïde, sectionné au niveau de ses quatre cornes, est relevé en haut...
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  none: 0051 - Page 45 - Extirpation des kystes de l'isthme thyroidien.
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    none: 0051 - Page 45 - Extirpation des kystes de l'isthme thyroidien.
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    none: Fig. 54. Kystes de l'isthme thyroïdien. Incision cutanée transversale, découverte des kystes.
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  none: 0052 - Page 46 - Thyroidectomie totale.
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    none: 0052 - Page 46 - Thyroidectomie totale.
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    none: Fig. 55. Idem. Les muscles sous-hyoïdiens sont écartés avec deux pinces-érignes. Incision verticale de la gaine thyroïdienne mettant les kystes à découvert / Fig. 56. Les kystes sont mis à découvert en écartant la gaine celluleuse péri-thyroïdienne.
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    none: Fig. 57. Thyroïdectomie. 1er et 2e temps. A droite de la figure, section des muscles sous-hyoïdiens; de l'autre côté, soulèvement de la capsule propre et découverte du corps thyroïde.
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    none: Fig. 58. Enucléation extra-glandulaire. Le doigt est introduit dans l'espace décollable situé entre la gaîne viscérale et la capsule glandulaire, et s'efforce de luxer la tumeur hors de la plaie.
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    none: Fig. 59. Flexuosités de l'artère thyroïdienne inférieure au moment où elle traverse la gaine celluleuse péri-glandulaire / Fig. 60. Elongation de l'artère et de ses branches lorsque le goître, détaché de sa capsule, est luxé hors de la plaie.
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    none: Fig. 61. Schéma de l'hémostase dans l'énucléation extra-glandulaire... Fig. 62. Thyroïdectomie unilatérale. 4e temps. Formation d'un pédicule unique.
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    none: Fig. 63. Thyroïdectomie. 4e temps. Enucléation de la tumeur et formation du pédicule supérieur / Fig. 64. Ecrasement du pédicule supérieur.
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    none: Fig. 65. Idem. Formation du pédicule moyen / Fig. 66. Ecrasement du pédicule moyen.
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    none: Fig. 67. Idem. La ligature du pédicule moyen est terminée, formation du pédicule inférieur.
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    none: Fig. 68. Schéma montrant les dangers de blesser le nerf récurrent... Fig. 69. Schéma montrant l'éloignement du récurrent dans la ligature de la thyroïdienne inférieure... Fig. 70. Thyroïdectomie unilatérale...
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    none: Fig. 71. Schéma de l'énucléation intra-glandulaire... Fig. 72. Schéma de l'hémostase dans le cas d'énucléation intra-glandulaire...
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    none: Fig. 73. Goître polykystique rétro-sternal. Coupe schématique antéro-postérieure.
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    none: Fig. 74. Idem. Tamponnement de la cavité inférieure, où il peut persister une certaine hémorragie en nappe.
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    none: Fig. 75. Goître exophtalmique unilatéral. Opération. 1er temps. Incision cutanée.
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    none: Fig. 76. Idem. 4e temps. Ecrasement du pédicule.
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    none: 0069 - Page 63 - Instruments pour l'exploration du larynx à l'image renversée et pour les petites interventions sur cet organe.
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    none: Fig. 78. Position du miroir, élévation du larynx et marche des rayons dans la laryngoscopie à image renversée.
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    none: Fig. 80. Bronchoscopie directe sous l'anesthésie chloroformique.
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    none: Fig. 81. Laryngoscopie directe par la méthode de Doyen. Introduction du tube pharyngé muni de son mandrin / Fig. 82. Introduction du conducteur intra-laryngé par l'échancrure antérieure du tube pharyngé.
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    none: Fig. 83. Pièce anatomique montrant, grâce à l'incision longitudinale antérieure du larynx et de la trachée, comment pénètre dans l'orifice du larynx, sur le conducteur métallique, le tube bronchoscope.
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    none: Fig. 85. Canules tranchantes à mandrin de Krishaber...
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    none: Fig. 86. Laryngotomie sous-thyroïdienne. Les parties molles sont écartées avec des pinces érignes qui assurent en même temps l'hémostase.
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    none: Fig. 87. Laryngotomie sous-thyroïdienne. 1er et 2e temps. Incision des parties molles... Fig. 88. Laryngotomie sous-thyroïdienne. 2e temps. Incision de la membrane thyro-cricoïdienne / Fig. 89. Trachéotomie haute. 2e temps...
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    none: Fig. 90. Trachéotomie chez l'adulte. Introduction de la canule sur l'extrémité de l'index gauche.
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    none: Fig. 91. Trachéotomie chez l'enfant. 1er et 2e temps / Fig. 92. Trachéotomie chez l'enfant. L'opération est terminée. Une mèche de gaze est placée en dessous de la canule.
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    none: Fig. 93. Extirpation d'un corps étranger sous-glottique par la trachéotomie / Fig. 94. Endoscopie directe de la bronche droite par une incision de trachéotomie.
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    none: Fig. 95. Extirpation d'un corps étranger profondément engagé dans la bronche, à l'aide d'une pince courbe introduite par une incision de trachéotomie.
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    none: Fig. 96. Idem. Le corps étranger est extrait de la plaie trachéale.
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    none: Fig. 97. Laryngotomie médiane. 3e temps. Incision verticale du cartilage thyroïde. Aspect de la cavité laryngée après l'extraction d'un corps étranger.
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    none: 0093 - Page 87 - Instruments pour l'extirpation du larynx.
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    none: Fig. 98.
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    none: Fig. 99. Extirpation du larynx par hémisection médiane. 3e temps. Incision médiane du thyroïde et du cricoïde; section de l'os hyoïde et découverte de l'épiglotte.
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    none: Fig. 100. Idem. Suite du 3e temps. Toute la paroi antérieure a été incisée. Section de la trachée, qui est suturée à la peau / Fig. 101. 4e temps. Extirpation de la moitié droite du larynx, qui est détaché progressivement de bas en haut.
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    none: Fig. 102. Extirpation totale du larynx par hémisection médiane. 1er et 2e temps. Incision des parties molles et hémostase.
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    none: Fig. 103. Idem. 4e temps. Extirpation de la moitié droite du larynx / Fig. 104. Suite du 4e temps. Extirpation de la moitié droite.
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    none: Fig. 105. Extirpation totale du larynx; tamponnement de la plaie / Fig. 106. Application de la sonde oesophagienne.
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    none: Fig. 107. Extirpation totale du larynx par la voie rétrograde ascendante. 1er et 2e temps de l'opération. Vue d'ensemble.
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    none: Fig. 108. Idem. 1er et 2e temps de l'opération. Incision des parties molles; section des muscles sous-hyoïdiens et découverte de l'isthme du corps thyroïde / Fig. 109. Idem. 3e temps de l'opération. Section de la trachée.
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    none: Fig. 110. 4e temps de l'opération. La trachée a été suturée à la peau. Le constricteur inférieur du pharynx vient d'être sectionné... Fig. 111. 4e temps de l'opération vu de face...
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    none: Fig. 112. Idem. 4e temps de l'opération. Section de la muqueuse du pharynx à son insertion laryngée / Fig. 113. 5e temps de l'opération. Pose des fils par la suture de la muqueuse pharyngée.
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    none: Fig. 114. Idem. 5e temps de l'opération. Réunion de la paroi antérieure du pharynx / Fig. 115. La paroi antérieure du pharynx a été réséquée; suture de la muqueuse pharyngée postérieure à la peau.
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    none: Fig. 116. Coupe horizontale du cou passant par la 5e vertèbre cervicale et les cordes vocales supérieures... Fig. 117. Même coupe montrant en pointillé le tracé de l'incision nécessaire pour extirper un larynx cancéreux...
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    none: Fig. 118. Idem. 5e temps. Aspect du champ opératoire après la réunion complète de la muqueuse à la peau / Fig. 119. Même cas. Réunion de la plaie. Suture de la peau à la bandelette muqueuse médiane.
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    none: Fig. 120. Cancer de la base de la langue, du sillon glosso-épiglottique, de l'épiglotte et de la muqueuse laryngée. Les deux traits marquent l'étendue de l'opération.
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    none: Fig. 121. Même cas. L'opération est terminée. Réunion des muqueuses linguale et bucco-pharyngée à la peau.
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    none: Fig. 122. Extirpation de la base de la langue, de l'os hyoïde, du larynx et d'une partie de la muqueuse pharyngée. Résultat de l'opération, vue de face / Fig. 123. Idem. Vue de profil.
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    none: 0109 - Page 103 - Opérations sur le pharynx. Exploration du pharynx cervical. Lésions traumatiques.
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    none: Fig. 124. Pharyngotomie médiane sous-hyoïdienne. 2e temps. Vue d'ensemble / Fig. 125. Section des muscles sous-hyoïdiens; découverte de la membrane thyro-hyoïdienne / Fig. 126. Idem. 3e temps. Vue d'ensemble...
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    none: Fig. 128. Dessin d'ensemble. 1er temps. La pince à longs mors courbes introduite par la bouche fait saillie au-dessus de la corne de l'os ovoïde.
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    none: Fig. 129. Même opération. 2e temps. Les parties molles viennent d'être perforées avec la pince. Les anneaux de la pince sont écartés. La plaie est agrandie par divulsion / Fig. 130. 3e temps. Dessin d'ensemble. Plaie résultant de la divulsion.
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    none: Fig. 131. Idem. Les deux pinces érignes, écartant les deux lèvres de la plaie, mettent en évidence le sillon glosso-épiglottique, l'épiglotte et la base de la langue / Fig. 132. Aspect d'une plaie de pharyngotomie latérale gauche...
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    none: Fig. 133. Pharyngotomie rétro-hyoïdienne. Dessin d'ensemble / Fig. 134. Incision des téguments en T...
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    none: Fig. 135. Préhension de la peau et de la muqueuse avec des pinces érignes qui écartent fortement la plaie... Fig. 136. Préhension de l'épiglotte avec une pince érigne...
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  none: 0119 - Page 113 - Pharyngotomie laterale sous-hyoïdienne.
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    none: Fig. 137. Pharyngotomie latérale sous-hyoïdienne. Dessin d'ensemble. 1er temps de l'opération. L'incision est la même que pour la ligature de la carotide externe.
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    none: Fig. 138. Idem. 2e temps... Fig. 139. Idem. 3e temps. Le laryngo-pharynx est incisé en dessous des vaisseaux laryngés supérieurs, jusqu'au niveau de l'omo-hyoïdien...
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    none: Fig. 140. Pharyngoplastie. 1er temps. Taille du lambeau inférieur / Fig. 141. Idem. 1er temps. Coupe schématique. Vue de profil.
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    none: Fig. 142. Idem. 2e temps. Suture latérale et réunion latérale du lambeau inférieur / Fig. 143. Idem. 2e temps. Vue de profil montrant la reconstitution de l'oesophage.
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    none: Fig. 144. Idem. 6e temps. Reconstitution du pharynx / Fig. 145. 6e temps. Vue de profil montrant la reconstitution du canal pharyngo-oesophagien.
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    none: Fig. 146. Oesophagoscopie directe sans anesthésie préalable.
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    none: 0127 - Page 121 - Instruments pour le cathétérisme explorateur et pour l'endoscopie de l'oesophage.
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    none: Fig. 147.
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    none: Fig. 148. Diverticule de l'oesophage. Aspect de la région après l'ingestion des aliments, lorsque la poche est remplie / Fig. 149. Idem. Aspect de la région quand le contenu de la poche a été évacué.
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    none: Fig. 150. Idem. Opération. Schéma démontrant l'extirpation de la poche par la méthode de l'écrasement et de l'invagination des lèvres de la plaie par la suture en surjet ou en cordon de bourse.
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  none: 0133 - Page 127 - Instruments pour l'oesophagotomie externe et pour l'extraction des corps étrangers en cas d'insuccès de l'extirpation par les voies naturelles.
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    none: Fig. 151.
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  none: 0134 - Page 128 - Oesophagotomie externe cervicale.
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    none: 0134 - Page 128 - Oesophagotomie externe cervicale.
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    none: Fig. 152. Electrolyseurs losangiques, à double fenêtre et à simple fenêtre franchissant un rétrécissement néoplasique.
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    none: Fig. 153. Oesophagotomie externe. 2e temps. Dessin d'ensemble / Fig. 154. Section du muscle omo-hyoïdien. Découverte de la glande thyroïde et du constricteur inférieur / Fig. 155. L'oesophage est soulevé par l'extrémité d'une longue pince courbe...
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    none: Fig. 156. Idem. 3e temps. Incision de l'oesophage sur l'extrémité de la pince / Fig. 157. L'opération est terminée; la muqueuse de l'oesophage a été suturée à la peau. Application d'une sonde à demeure.
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    none: Fig. 158. Oesophagotomie cervicale basse pour sténose néoplasique située au niveau du rétrécissement bronchique / Fig. 159. Photographie du dentier, grandeur naturelle...
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    none: Fig. 160. Introduction d'une longue pince courbe dans la partie inférieure de l'oesophage pour l'extraction d'un dentier implanté dans la muqueuse / Fig. 161. Dessin schématique montrant le panier de Graefe...
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  none: 0141 - Page 135 - Instruments pour l'électrolyse de l'oesophage et pour l'électro-coagulation des épithélioma au début soit par les voies naturelles, soit après oesophagotomie externe.
width: 2148
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    none: 0141 - Page 135 - Instruments pour l'électrolyse de l'oesophage et pour l'électro-coagulation des épithélioma au début soit par les voies naturelles, soit après oesophagotomie externe.
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    none: Fig. 162.
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    none: Fig. 163. Electro-coagulation d'un rétrécissement cancéreux de l'oesophage, par une incision d'oesophagotomie externe...
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    none: Fig. 166. Région sus-claviculaire, vue d'en haut. Dessin d'ensemble montrant les plans de section des coupes suivantes / Fig. 167. Coupe verticale antéro-postérieure de la région scapulo-claviculaire gauche...
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    none: Fig. 169. Même coupe chez un tuberculeux au 4e degré...
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    none: Fig. 170. Coupe verticale antéro-postérieure de la région sus-claviculaire atteinte de lipome érectile...
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    none: Fig. 171. Envahissement de la région cervico-claviculaire et du moignon de l'épaule par un sarcome qui a subi une évolution subaiguë à la suite d'une intervention sanglante intempestive.
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    none: Fig. 172. Dissection de la paroi postérieure de la loge parotidienne. Découverte du nerf hypoglosse et du nerf spinal.
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    none: Fig. 173. Idem. Aspect du champ opératoire avant l'anastomose. Des traits transversaux marquent les points de section du facial, du spinal et d'un de ses rameaux.
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    none: Fig. 174. Idem. 4e temps. L'anastomose est terminée.
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    none: Fig. 175. Résection du grand sympathique cervical. 3e temps. Dessin d'ensemble.
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    none: Fig. 176. Idem. 3e temps...
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    none: Fig. 177. Même opération. Le tronc du sympathique est chargé sur une pince.
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  none: 0158 - Page 152 - Opérations sur les gros vaisseaux du cou. Opérations sur les artères.
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    none: 0158 - Page 152 - Opérations sur les gros vaisseaux du cou. Opérations sur les artères.
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    none: Fig. 178. Ligature de la carotide externe et de ses branches / Figure schématique.
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    none: Fig. 179. Aspect de la région carotidienne lorsque la gaine des vaisseaux est recouverte par des ganglions adhérents. Dessin d'ensemble / Fig. 180. Idem...
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    none: Fig. 181. Idem. 4e temps de l'opération. Découverte et ligature de la carotide externe et de ses branches / Fig. 182. La gaine celluleuse a été effondrée; la carotide externe est chargée sur une pince courbe...
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    none: Fig. 183. Ligature de la carotide primitive dans ses portions cervicales. Dessin d'ensemble.
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    none: Fig. 184. Idem. 4e temps. Dénudation de l'artère qui est soulevée par une pince courbe.
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    none: Fig. 185. Ligature de la carotide primitive gauche dans sa portion thoracique. Dessin d'ensemble / Fig. 186. Le faisceau sternal du sterno-mastoïdien est écarté vers la droite...
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    none: Fig. 187. Idem. Le fil a été glissé le plus près possible de l'origine de l'artère, pour la lier au niveau de la crosse de l'aorte.
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    none: Fig. 188. Ligature de la carotide primitive gauche dans sa portion intra-thoracique. Le malade est placé dans la position de Rose. Dessin d'ensemble / Fig. 189. Idem...
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    none: Fig. 190. Ligature du tronc artériel brachio-céphalique, 3e temps...
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    none: Fig. 191. Ligature de la sous-clavière droite en dehors des scalènes. Dessin d'ensemble / Fig. 192. Le muscle omo-hyoïdien est sectionné. Les parties molles sont écartées avec deux pinces érignes, et l'artère a été chargée sur une pince courbe.
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  none: 0170 - Page 164 - Traitement des anévrysmes artériels par la méthode de Doyen.
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    none: 0170 - Page 164 - Traitement des anévrysmes artériels par la méthode de Doyen.
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  none: 0171 - Page 165 - Instruments pour l'artérioraphie et l'opération des anévrysmes artérioso-veineux.
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    none: 0171 - Page 165 - Instruments pour l'artérioraphie et l'opération des anévrysmes artérioso-veineux.
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    none: Fig. 193.
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  none: 0172 - Page 166
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    none: Fig. 194. Anévrysme de la carotide externe. 3e temps. Ouverture du sac et ligature incomplète entre le sac et le cœur / Fig. 195. Dessin schématique montrant la ligature incomplète de l'artère et l'étendue du sac qui doit être réséquée.
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  none: 0173 - Page 167
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    none: Fig. 196. Reconstitution du vaisseau par une double suture en surjet / Fig. 197. Si les parois du sac sont trop friables, on fait la ligature complète de l'artère au-dessus et au-dessous du sac... Fig. 198. Même opération...
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  none: 0174 - Page 168
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height: 3183
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    none: Fig. 199. Anévrysme sacciforme de la carotide primitive. 3e temps de l'opération. Dessin d'ensemble / Fig. 200. Hémostase en amont du sac avec une pince élastique pour l'anévrysmorraphie. Ouverture et toilette du sac...
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  none: 0175 - Page 169
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    none: Fig. 201. Idem. Passage du fil sous l'artère en amont du sac et ligature incomplète de l'artère / Fig. 202. Reconstitution de l'artère par l'endoanévrysmorraphie.
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  none: 0176 - Page 170
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height: 3168
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    none: 0176 - Page 170
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    none: Fig. 203. Anévrysme fusiforme présentant deux orifices artériels distincts. Ligature incomplète de l'artère en amont du sac... Fig. 204. Pose du 2e plan de suture,... Fig. 205 / Figure schématique montrant la résection partielle du sac.
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  none: 0177 - Page 171
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    none: Fig. 206. Idem. Coupe de l'artère réparée, après le premier plan de suture / Fig. 207. Coupe de l'artère reconstituée après le 2e plan de suture... Fig. 211. Aspect de l'artère reconstituée.
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  none: 0178 - Page 172 - Anévrysmes artérioso-veineux.
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    none: 0178 - Page 172 - Anévrysmes artérioso-veineux.
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    none: Fig. 212. Schéma de la perforation accidentelle d'une veine et d'une artère à leur partie moyenne / Fig. 213. Schéma de l'anévrysme... Fig. 214. Perforation accidentelle presque tangentielle...
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  none: 0179 - Page 173
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    none: Fig. 218. Anévrysme inter-artérioso-veineux entre deux gros vaisseaux. Hémostase temporaire. Ligature incomplète... Fig. 219. Le sac vient d'être extirpé. Fermeture des orifices artériel et veineux...
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label:
  none: 0180 - Page 174 - Opérations sur les troncs veineux.
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    none: 0180 - Page 174 - Opérations sur les troncs veineux.
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    none: Fig. 220. Découverte de la veine jugulaire interne atteinte de phlébite. Dessin d'ensemble.
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    none: ark:/13685/23949x03/0180
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    none: Fig. 221. Idem. 1er et 2e temps. Incision cutanée le long du bord postérieur du muscle sterno-cléido-mastoïdien. Découverte de la veine... Fig. 222. Ligature de la partie inférieure de la veine. Dessin d'ensemble.
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  none: 0182 - Page 176
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    none: Fig. 223. Idem. La veine a été liée au-dessous du segment envahi par la phlébite. Les parois ont été incisées au-dessus de la ligature afin de pratiquer l'extraction des caillots...
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  none: 0183 - Page 177 - Opérations sur les gros troncs lymphatiques.
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    none: 0183 - Page 177 - Opérations sur les gros troncs lymphatiques.
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    none: Fig. 224. Les deux chefs du sterno-mastoïdien ont été écartés par divulsion. Le canal thoracique émerge du tissu celluleux...
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  none: 0184 - Page 178
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    none: Fig. 225. Le tissu cellulo-adipeux a été extirpé. Crosse du canal thoracique autour du nerf pneumogastrique au contact de la sous-clavière et de la vertébrale.
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  none: 0185 - Page 179 - Opérations sur la nuque.
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    none: 0185 - Page 179 - Opérations sur la nuque.
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    none: Fig. 226. Le pneumogastrique a été chargé sur un écarteur ainsi que la carotide et la jugulaire interne, de manière à découvrir la trachée, l'oesophage et le nerf récurrent...
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    none: Fig. 227. Résection du nerf occipital gauche. Dessin d'ensemble / Fig. 228. Idem. 3e temps de l'opération montrant la section des plans musculaires superficiels et la découverte du grand nerf occipital devant l'aponévrose profonde.
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  none: 0187 - Page 181
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height: 3280
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    none: Fig. 229. Myotomie multiple unilatérale des muscles de la nuque. Côté droit. Dessin d'ensemble / Fig. 230. 2e temps de l'opération...
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  none: 0188 - Page 182
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height: 3312
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    none: Fig. 231. Idem. 2e temps de l'opération. Dessin d'ensemble.
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  value:
    none: ark:/13685/23949x03/0188
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    none: Fig. 232. Idem. 2e temps de l'opération. Les complexus viennent d'être sectionnés; découverte du grand nerf occipital d'Arnold et du muscle grand oblique.
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    none: Fig. 233. Myotomie multiple bilatérale des muscles de la nuque. Dessin d'ensemble / Fig. 234. Section bilatérale de tous les muscles superficiels, y compris le petit nerf d'Arnold...
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  none: 0191 - Page 185 - Opérations sur les artères de la nuque.
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    none: Fig. 235. Ligature de l'artère occipitale gauche. Découverte de l'artère.
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    none: Fig. 236. Ligature de l'artère vertébrale. Dessin d'ensemble / Fig. 237. Les apophyses cervicales transverses ont été mises à nu. Résection de la demi-circonférence externe du canal vertébral du tubercule de Chassaignac.
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  none: 0193 - Page 187 - Opérations sur la colonne vertébrale cervicale.
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    none: Fig. 238. Idem. L'artère vertébrale vient d'être mise à découvert par la résection successive du segment externe des tubercules des apophyses transverses des 4e, 5e et 6e cervicales.
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  none: 0195 - Page 189 - Instruments nécessaires pour les interventions sur le rachis.
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    none: Fig. 239.
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    none: Fig. 240. Rachis cervical. Aspect des espaces interlaminaires, qui diminuent de haut en bas et n'existent pas dans la région dorsale.
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    none: Fig. 241. Introduction de la branche horizontale du rachitome sous la lame vertébrale de la 6e vertèbre cervicale / Fig. 242. Laminectomie cervicale avec la rugine costotome. La dure-mère rachidienne est protégée par la branche horizontale de l'instrument.
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  none: 0198 - Page 192
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    none: Fig. 243. Idem. Section successive des 6e, 5e et 4e lames cervicales du côté droit / Fig. 244. Extirpation de l'apophyse épineuse et des segments de lame vertébrale par bascule de l'apophyse épineuse du côté opposé à la première section.
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    none: Fig. 245. Luxation vers la gauche de la 6e apophyse épineuse pour fracturer la lame vertébrale gauche / Fig. 246. Extirpation des 6e, 5e et 4e apophyses épineuses et d'une partie des lames correspondantes.
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  none: 0200 - Page 194
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    none: Fig. 247. Agrandissement de l'orifice du canal rachidien à l'aide de la pince gouge / Fig. 248. Tumeur de la 3e racine rachidienne postérieure droite comprimant la moelle cervicale.
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    none: Fig. 249. Cavité osseuse creusée par la tumeur dans le corps de l'axis. La concavité dure-mérienne indique le degré de compression de la moelle.
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    none: Fig. 249 bis. Même cas. La dure-mère a été incisée et écartée de manière à mettre en évidence la compression de la moelle cervicale.
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  none: 0203 - Page 197 - Opérations sur le thorax.
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    none: Fig. 250. Plaie de l'artère mammaire interne au niveau du 3e espace intercostal droit. Dessin d'ensemble / Fig. 251. 1er temps. Découverte de l'espace inter-chondro-costal perforé / Fig. 252. 2e temps. Résection partielle du cartilage costal inférieur...
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    none: Fig. 253. Idem. 3e temps. Découverte de la plaie artérielle, pincement des vaisseaux et section entre les deux pinces / Fig. 254. Ligature des deux bouts de l'artère et des veines adjacentes.
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    none: 0207 - Page 201 - Luxations et fractures.
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    none: Fig. 255. Rapports de la partie moyenne de la clavicule avec l'artère sous-clavière, les deux premières côtes et les scalènes.
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    none: Fig. 256. Découverte de la partie moyenne de la clavicule au niveau de l'espace delto-pectoral / Fig. 257. Découverte du faisceau vasculo-nerveux après résection de la partie moyenne de la clavicule.
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    none: Fig. 258. Carie du sternum et des cartilages costaux. Extirpation d'un fragment du sternum avec la pince-gouge / Fig. 259. L'opération est terminée. Réunion partielle de la peau et tamponnement de la plaie.
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    none: Fig. 260. Bride cicatricielle axillaire consécutive à une brûlure au 4e degré / Fig. 261. Section de la cicatrice et extension du bras, mettant en évidence la perte de substance à remplacer.
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    none: Fig. 262. Même cas. Taille d'un lambeau cutané dorsal par l'autoplastie / Fig. 263. Application du lambeau dorsal au niveau du creux axillaire cruenté.
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    none: Fig. 264. Même cas. Suture du lambeau autoplastique, comblant la perte de substance axillaire. La plaie dorsale se cicatrisera à plat.
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    none: Fig. 265. Papillome épithéliomateux de la région thoracique antérieure. Extirpation.
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  none: 0219 - Page 213 - Opérations sur la mamelle.
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    none: 0219 - Page 213 - Opérations sur la mamelle.
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    none: Fig. 266. Adéno-fibrome volumineux de la mamelle. Opération. 1er temps.
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    none: Fig. 267. Amputation du sein. 1er temps. Incision curviligne supérieure / Fig. 268. 2e temps. Incision curviliqne inférieure.
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    none: Fig. 269. Idem. 3e temps. Découverte du muscle grand pectotal. Le sein, s'il n'est pas adhérent, se détache sous la traction de la main / Fig. 270. 7e temps. Pose du premier point séparé au milieu de l'incision.
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