The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . ion is not uninterruptedly complete, the sacappears to empty itself to a considerable extent, andeventually to consolidate by the deposit of laminatedfibrine. But, if the sac already contain some solidi-fied la3ers, and the compression be continuous andcomplete, the coagulation of the remaining fluid partof its blood is apt to take place ratlier suddenly. Butin all cases the contraction of the sac, consequent Fig. —sac of Tubu-upon the arrest or restraint of tiie current of blood ^^ Aneunsm


The science and art of surgery : being a treatise on surgical injuries, diseases, and operations . ion is not uninterruptedly complete, the sacappears to empty itself to a considerable extent, andeventually to consolidate by the deposit of laminatedfibrine. But, if the sac already contain some solidi-fied la3ers, and the compression be continuous andcomplete, the coagulation of the remaining fluid partof its blood is apt to take place ratlier suddenly. Butin all cases the contraction of the sac, consequent Fig. —sac of Tubu-upon the arrest or restraint of tiie current of blood ^^ Aneunsm cured • i. -J. • • i. .. 1 i • 111 i by Compression ; Con- uito it, IS an important element in the cure. JUustra- / . .^ ^ ? 1 traction ot Sac, aud tive of this mode of cure, there is a preparation in the irregular Deposit ofMuseum of University College (Fig. 365). Fibiine. From all this, then, it would appear that the con-solidation and cure of an aneurism by compression may and does takeplace in three different ways : 1, by the slovv deposit of laminated fibrine ;VOL. If.—5. 66 ANEURISM. 2, by rapid coagulation of the contents of the sac; 3, by contraction ofthe sac. The particular mode of cure will depend upon the completenessof the compression and the more or less perfect arrest of the blood inthe sac, the plasticity of that blood, and the shape of the aneurism. Circumstances influencing Success.—The success of the treatment bycompression depends greatly upon a scrupulous attention to a number ofminor circumstances, which, though each be trifling in itself, become ofimportance when taken as a whole. During the whole of the treatment,also, the patients general health should be attended to in accordancewith those dietetic and medical principles that have already been laiddown in speaking of tlie constitutional treatment of the disease, having fortheir object the increase of the fibrination of the blood. The irritabilityof the heart and arteries must also be


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Keywords: ., bookcent, bookdecade1870, booksubjectsurgicalproceduresoperative