. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . ath of thevessel, which is then opened in the same cautious manner as in theprevious case: and the artery being gently separated from theFig. 254. accompanying structures, is ligated by passing theneedle from without in-ward, so as to exclude thejugular vein. The omo-hyoid muscle must be heldaside with a hook. Whenaccess to the common car-otid in the inf
. The science and art of surgery, embracing minor and operative surgery. Comp. from standard allopathic authorities, and adapted to homoeopathic therapeutics, with a general history of surgery from the earliest periods to the present time .. . ath of thevessel, which is then opened in the same cautious manner as in theprevious case: and the artery being gently separated from theFig. 254. accompanying structures, is ligated by passing theneedle from without in-ward, so as to exclude thejugular vein. The omo-hyoid muscle must be heldaside with a hook. Whenaccess to the common car-otid in the inferior partof the neck is rendered dif-ficult on account of the low% situation of the tumor, thebest plan is to divide thesterno-hyoid and sterno-thyroid muscles either alone or jointly, with the inner portionof the sterno-mastoid, so as to enlarge the space between theaneurism and the sternum. By observing this precaution, , of Dublin, was enabled to ligate the vessel successfullywithin an eighth of an inch of the innominata. The carotid issometimes tied at a very early age. Dr. McClellan, assisted by , ligated this artery in a child only five months old, onaccount of an immense nevus of the upper part of the face. The. OPERATIONS ON THE ARTERIES. 225 ninth pair of nerves was divided in this case, as it interfered withthe passage of the ligature. No untoward symptoms occurred;the tumor diminished somewhat after the operation, but in lessthan a month was larger than ever. Ligation of this vessel is occasionally required on account ofwounds of the neck, involving the external carotid or some of itsbranches. The operation is often embarrassing in consequence ofthe confused condition of the parts from the extravasation ofblood, and it is not always successful, owing to the establishmentof a return current through the internal into the external , secondary hemorrhage is liable to ensue, necessitating fur-ther proceeding, and that, perhaps, at a time whe
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