. Medical and surgical therapy . sts in temporary haemo- / ^\ // stasis by Securing temporarily ^^^ ^ the arterial trunk above the wound. If the hsematoma isin Scarpas triangle, the tem-porary ligature is placed onthe external iliac. The methodhas already been the case of a haematomaof the middle or lower partof the thigh, the femoral issecured at the base of Scarpastriangle. The method is asfollows : The skin overScarpas triangle is incised for2 inches along the line of thefemoral, that is to say, alonga line from the centre of thefold of the groin to the backpart of the internal
. Medical and surgical therapy . sts in temporary haemo- / ^\ // stasis by Securing temporarily ^^^ ^ the arterial trunk above the wound. If the hsematoma isin Scarpas triangle, the tem-porary ligature is placed onthe external iliac. The methodhas already been the case of a haematomaof the middle or lower partof the thigh, the femoral issecured at the base of Scarpastriangle. The method is asfollows : The skin overScarpas triangle is incised for2 inches along the line of thefemoral, that is to say, alonga line from the centre of thefold of the groin to the backpart of the internal condyle(fig. 64). The incision shouldcommence half an inch abovethe fold of the groin. The white fibres of Poupartsligament should be well ex-posed. Then the fascia latashould be carefully divided, preferably upon a grooveddirector introduced through a hole in the cribriformfascia. The edges of the incised aponeurosis are re-tracted, exposing the artery with the vein close toits inner side. The portion of the artery immediately. Fig. 64.—Line of the femoralartery. (Broca.) WOUNDS OF THE FEMORAL VESSELS 239 beneath Pouparts ligament should be cleared aiidthe thread passed. By placing the temporary liga-ture in this position the circulation in both thesuperficial and deep femoral is arrested. When temporary control of haemorrhage ha^ thusbeen assured the haematoma is incised. The incisionshould be a long one, and follows the femoral sartorius is easily recognised ; should it hinderexposure of the whole extent of the blood-filledcavity, it should be divided transversely. The cavityshould be well mapped out and the exact positionof the vascular wounds ascertained. The injury maybe in the femoral artery, femoral vein, or in both ;there may be multiple wounds of the artery and veinand their branches. The exposure of these woundsfrequently demands long and careful examination,the difficulties of which are well known to surgeonsat the front. In the case of a wound of the fe
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
