. Medical and surgical therapy . Fig. 8.—Wound of the femoralvessels by a shrapnel-ball atthe level of the crural canal. Artery and vein are both com-pletely divided. The arteryshows a lateral wound abovethe level of complete section.(Latarjets case. Val - de -Grace Museum.). Fig. 9.—Lateral wound of theexternal iliac artery, withmultii^ie perforations of thevein by shell - fragments.(Latarjets case. Val - dc -Grace Museum.) deep with the superficial femoral. Quenu saw thetrunk of the interosseous divided at the same timeas the brachial in the bend of the elbow. In operatingfor a haematoma in
. Medical and surgical therapy . Fig. 8.—Wound of the femoralvessels by a shrapnel-ball atthe level of the crural canal. Artery and vein are both com-pletely divided. The arteryshows a lateral wound abovethe level of complete section.(Latarjets case. Val - de -Grace Museum.). Fig. 9.—Lateral wound of theexternal iliac artery, withmultii^ie perforations of thevein by shell - fragments.(Latarjets case. Val - dc -Grace Museum.) deep with the superficial femoral. Quenu saw thetrunk of the interosseous divided at the same timeas the brachial in the bend of the elbow. In operatingfor a haematoma in Scarpas triangle, P. Duval founda rent in the deep femoral vessels, as well as a woundof the superficial femoral artery and vein. Thismultiplicity of lesions, which is associated witli shell-fragments as well as with bullets, has a considerable;therapeutic importance. As a matter of iact, it is PHYSIOLOGICAL CONSIDERATIONS 7 one of the chief reasons for preferring hgature in thewound itself to tying the vessels above the injury. Fragments of shells, grenades, and aerial torpedoesalso cause vascular wounds of widely varying have seen actual punctures from minute, sharpfragments of a grenade. Sometimes the fragment
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
