Modern surgery, general and operative . condary hemorrhage. Koenig collected 20cases of ligation of the first part of the right subclavian, with 19 deaths. LiUen-thal believes that the mortality after ligating the first portion on the right sideis now only 16 per cent, (quoted by Neff in Annals of Surg., Oct., 1911).According to Joseph D. Bryant, there have been 134 deaths in 250 Hgationsat various points of the subclavian (Operative Surgery). I have twice tiedthis vessel with success. Gangrene seldom follows ligation of the 42 recoveries after ligation of various points there wa
Modern surgery, general and operative . condary hemorrhage. Koenig collected 20cases of ligation of the first part of the right subclavian, with 19 deaths. LiUen-thal believes that the mortality after ligating the first portion on the right sideis now only 16 per cent, (quoted by Neff in Annals of Surg., Oct., 1911).According to Joseph D. Bryant, there have been 134 deaths in 250 Hgationsat various points of the subclavian (Operative Surgery). I have twice tiedthis vessel with success. Gangrene seldom follows ligation of the 42 recoveries after ligation of various points there was i case of gangreneof the arm (Poirets statistics, quoted by Neff in Annals of Surg., Oct., 1911).In Von Bergmanns 90 ligations for gunshot-wounds there was not a case ofgangrene of the arm and only 3 of gangrene of the fingers. The vertebral artery was first successfully ligated by Smythe, ofNew Orleans, in 1864. He had ligated the innominate for aneurysm of thesubclavian and at the same time tied the common carotid. Secondary hemor-. Fig. 244.—Position of the lines of incision of temporal,facial, lingual, common carotid (above the omohyoid), sub-clavian, axillary (first portion), and internal mammaryarteries (MacCormac). The Inferior Thyroid Artery 477 rhage occurred, the blood coming from the brain. He arrested it bv t^-ingthe vertebral. Anatomy.—This vessel is the largest branch of the subcla\-ian. and isthe first branch coming from the first portion of the 5ubcla^-ian. The verte-bral arter}- ascends and enters the foramen in the transverse process of thesixth cervical vertebra (in rare cases the fifth or the seventh\. and ascendsthrough foramina in the cenical vertebrae, passes behind the articular processof the atlas and over the posterior arch of this first vertebra, pierces the pos-terior occipito-atloid ligament, and enters the skull by way of the foramenmagnum (Grays Anatomy). It joins its fellow of the opposite side toform the basilar arter\-. At its point of or
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishe, booksubjectsurgery
