The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . cting the amputated limbitAvas found that the posteriortibial artery was the source of the bleeding; that the pressure of a piece of bone hadcaused ulceration and sloughing of its walls, and that the piece of bone itself had beendisplaced and driven against the artery by the missile. The ai-ticular surfaces of thetibia and astralagus were extensively comminuted. A strongly supporting course of treatment was pursued, the patient receiving nutri-ents, stimulants, and tonics, as required, but


The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . cting the amputated limbitAvas found that the posteriortibial artery was the source of the bleeding; that the pressure of a piece of bone hadcaused ulceration and sloughing of its walls, and that the piece of bone itself had beendisplaced and driven against the artery by the missile. The ai-ticular surfaces of thetibia and astralagus were extensively comminuted. A strongly supporting course of treatment was pursued, the patient receiving nutri-ents, stimulants, and tonics, as required, but these did not enable him to overcome theeffects of the bleeding. He died from anaemic exhaustion twenty days after the hem-orrhage. » Med. and Surg. Hist, of the War of the Rebellion, First Surg. Vol., p. 554. SECONDARY HEMORRHAGE. 269 The following history and the wood-cut which accompanies it (Fig. 452)furnish good illustrations of the same topic. The operation of ligaturing thesubclavian artery in the first part of its course was performed by Assistant-Surgeon S. C. Ay res, U. IS. Volunteers:—. Ligature of the right subclavian artery within tlie scaleni muscles for hemorrhage from the subclavian, occa-sioned by a sharp fragment of bono, which haU caused ulceration and perforation of the wall of the artery. , Sect. I., A. M. M. A scout was shot on November 15,1864, while on an expedition. The ball struckthe external third of the clavicle, fracturing it, passed obliquely inward and backward,and emerged behind, near the spinal column, having opened the right pleural December 14 a severe hemorrhage from the subclavian artery occurred, and thisvessel was promptly tied, in the first part of its course, in the following manner : Atriangular flap was made by cutting parallel with the upper border of the clavicle andalong the inner border of the sterno-mastoid—the two incisions meeting at the sterno-clavicular articulation. The sternal and part of the clavicu


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Keywords: ., bookcentury1800, bookdecade1880, bookpublishernewyo, bookyear1881