. Modern surgery, general and operative. Fig. 241.—Arrest of hemorrhage by passing a Fig. 242.—Vasotribe of Doyen. by end-to-end suturing. Figure 243 shows the operation of phleborrhaphy fora longitudinal wound. Hemostatic Agents 503 By suturing I successfully closed a tear in the innominate vein inflictedduring the removal of a retrosternal goiter, and also a considerable longitudinaltear in the internal jugular vein inflicted during the removal of lymph-nodes. Murphy and Damar Harrison each succeeded in suturing a wound of theinferior vena cava. Bier successfully applied sut
. Modern surgery, general and operative. Fig. 241.—Arrest of hemorrhage by passing a Fig. 242.—Vasotribe of Doyen. by end-to-end suturing. Figure 243 shows the operation of phleborrhaphy fora longitudinal wound. Hemostatic Agents 503 By suturing I successfully closed a tear in the innominate vein inflictedduring the removal of a retrosternal goiter, and also a considerable longitudinaltear in the internal jugular vein inflicted during the removal of lymph-nodes. Murphy and Damar Harrison each succeeded in suturing a wound of theinferior vena cava. Bier successfully applied sutures in 2 cases of wound ofthe inferior vena cava. Israel points out how difficult it is to suture in the depths of a cavity fullof blood. This complication always exists in wounds of the inferior cava, andin them it may be necessary to use forcipressure. He did this in 2 cases. In a case of Kortes the cava was wounded during nephrectomy. Forci-pressure and lateral sutures werefound impracticable. The cavawas tied. Thrombophlebitisarose in both legs, but thepatient eventually recovered(Zentralb
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