To manipulate more freely, it i

To manipulate more freely, it is possible to remove two-three top cervical vertebra. This way can use and not opening a skull, When skull opening for some reason or other to make it is impossible, and a nasal cavity and nasopharynxes to examine it is necessary, it is possible to use also way on which exarticulate a mandible, take away it on the person and, by means of a decadron online gouge having blasted the firm sky, get into a nasal cavity and nasopharynxes. This way with full excision of a mandible is more convenient a wasp-shchestvrt at neck cuts on a method of Medvedev, It is possible to open adnexal cavities of yokes separately. Sinuses to open the basic with a wide gouge, making two-sections. The first section do ahead of visual apertures, putting a gouge in a face-to-face direction and strong blow of a hammer driving in a gouge on 1 the Second section see do by horizontally put gouge on the right sideways from a Turkish saddle which entirely chop off from right to left (see fig. 23). Frontal sinuses quite often happen are opened already at skulls. If it has not occurred, them open with a gouge. Cells of a trellised bone * (os ethmoidale) open, deleting a bone gouge between it lamina cribrosa and internal walls of orbits (fig. 23 see, and). If thus still to separate the top part of a trellised bone (lamina eribrosa and crista galei) and a forward part of a body of the basic bone the top department of a nasal cavity will open. 77 Antrums of Highmore open after opening of orbits and extraction of eyes. Having released the bottom walls of orbits from soft tissues and having delayed them upwards and to front a hook (which give to hold to the assistant), hollow out at the bottom of orbits an aperture through which antrums of Highmore examine. Thus they open extremely insufficiently and in detail them to examine it is impossible. More well antrums of Highmore open at opening of the person on
Medvedev's method. After face skin putting off the top jaw that gives the chance to investigate easily and in detail antrums of Highmore and a teeth which usually do not investigate though it can have essential value is completely bared. the cavity widely opens a gouge of its forward wall. Possibility of full and clear representation about its form, size, a condition of its walls, apertures (hiatus maxillaris), opening in an average nasal course is thus framed. Teeth becomes quite accessible to research, can be taken, and lunulas are easily opened with a gouge. In the opened sinuses examine mucosas, their condition contained, an exsudate and so forth write down. sialadens with their ducts are convenient for investigating, applying a method of opening of the person on a method Vitushinsky or Medvedev. Chapter 8 OPENING OF THE NECK, BREAST AND STOMACH For opening of a neck, a breast and a stomach a corpse stack on a back a head to light; under a neck and shoulders of a corpse podkla-dyvajut so that the head overhung a little and completely the neck opened. 78 The prosector becomes to the right of a corpse and keeps a position during all time of opening. It is more convenient to lefthander to stand to the left of a corpse (fig. 26). TEHKA CUTS By small post-mortem knife do the basic cut (fig. 26) from a chin to help avandamet a pubis on a median line, bypassing a belly-button on the left side of a corpse not to damage round ligament of a liver. The post-mortem knife thus needs to be held horizontally, having grasped its handle in a palm and to cut not the extremity, and an edge paunch (2 fig. see p. 23). On a neck cut only a skin not to damage subject organs. Rice 26 Basic cut of a wall of a trunk. On all extent of a breast bone to a xiphoid process the cut should get to a bone. On a stomach, as well as on a neck, cut only a skin and a hypodermic fat. If on a way of this basic cut wounds, fistulas, operational wounds are located, they need to be bypassed, instead of to cut. After the basic cut of a skin of a stomach do a cut of all depth of an abdominal wall. For this purpose at a cut right edge under a xiphoid process grasp a skin fingers or a gear forceps, delay up and to itself and a knife paunch cautiously rasse - ' cabins an abdominal wall throughout 3-4 see Through the formed aperture air enters into a cavity of a stomach with some hum, the abdominal wall finishes, and the impression of an inspiration (the corpse has sighed) is made. It is a sign of that the prosector has got into a stomach cavity. Now enter index and average fingers of the left arm turned by a palm up, through a cut in brjush - 79 a cavity and, fingers, raise an abdominal wall, and a post-mortem knife between fingers cut it to a direction of already made basic cut of a skin, advancing fingers of the left arm to a pubis. At this way of a cut stomach organs are damaged. If at a strong inflation of an intestine there is a danger to damage organs the cut should be spent warm or bellied scissors If there is a suspicion on presence of gases at a stomach cavity, preliminary a skin in the form of a pocket in which pour water. An abdominal section do cautiously under water. If in a stomach cavity there is a gas it will leave through water blisters. If there are adnations of abdominal interiors with Peritoneum of a forward wall and fingers of the left arm or a knife them will come across, them it is cautious and without efforts part. When adnations are very strong, time them does not follow, and it is necessary in their place Skin and muscles, and a peritoneum to leave in connection with organs and This place to bypass a knife.