The Operations of surgery - Softcover

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1889 Excerpt: ...Though there had been no preliminary dilatation of the collateral circulation, either by pressure or by the presence of an aneurism, the result was successful. It is fair to state that Mr. Bartleet, of Birmingham, published a case in which the external iliac was tied successfully after secondary haemorrhage from the common femoral, the latter having been tied for aneurism of the femoral artery. Previous to ligature of the external iliac, " sponge-pressure" and pressure by means of a Martin's bandage were tried, but no details are given. It is noteworthy that the catgut ligature applied to the femoral in this case came away on the seventh day (the first day of the haemorrhage) unabsorbed, and surrounding a small slough of the artery. It had been tied "tightly." 3. Elephantiasis.--Ligature of the external iliac or femoral (when the condition of the soft parts admit of it) has been extolled by some surgeons in the treatment of this affection.§ A larger experience ehows, however, that when cases thus treated are watched, the cures cannot be relied upon as permanent. Moreover, too little value has been attached, in reported cures by ligature of the main vessel, to the thorough rest and elevated position entailed by tying the artery. Med. and Surg. History of the War of the Rebellion, pt. iii. p. 788. t II'uundsand Injuries of the Arteries, Lecta. v. and vi. J Otis, loc. supra cit., p. 40. J An apparently successful case is reported by Mr. Leonard, of Bristol. Measurements are given nearly three years after the operation, showing that the success was then maintained. Five years later the patient reported that "his leg was much the same" as at the last report. Bandaging does not appear to have been made use of here. Prof. Buchana...

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