. Modern surgery, general and operative. age to the 1570 Amputations Some surgeons have practised preliminary ligation of the common femoralartery or of the external iliac artery, and others have tied the vessels whilemaking the flaps. I employed preliminary ligation of the common femoral with perfect satisfaction in2 of my 4 cases of amputa-tion at the hip-ioint forsarcoma of the femur. Ifany form of compression beused, that recommended byMacewen, of Glasgow, is themost successful and satis-factory (Fig. 1076). Theweight of the assistantsbody is throwTi upon thepatients aorta by the
. Modern surgery, general and operative. age to the 1570 Amputations Some surgeons have practised preliminary ligation of the common femoralartery or of the external iliac artery, and others have tied the vessels whilemaking the flaps. I employed preliminary ligation of the common femoral with perfect satisfaction in2 of my 4 cases of amputa-tion at the hip-ioint forsarcoma of the femur. Ifany form of compression beused, that recommended byMacewen, of Glasgow, is themost successful and satis-factory (Fig. 1076). Theweight of the assistantsbody is throwTi upon thepatients aorta by the rightfist, placed slightly to the leftof the umbilicus. McBurneyhas suggested the preventionof bleeding by making asmall abdominal incision andhaving an assistant make direct digital pressure upon the iliac artery. I em-ployed McBurneys method in one case and found it most satisfactory. Inthis case a sarcoma of the thigh reached up so far that no band could be ap-plied above it and I was obliged to make the posterior flap shown in Fig. 107S.—Amputation at the hip-joint: Wyeths blood-less method.
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
