. Text-book of operative surgery . factorily after suture. Accordingto Jacobsthal,^ Czerny was the first (1881) to adopt suture of a vein in man; whilea year later Schede published a series of cases and brought the Operation intogeneral repute. We have adopted it successfuUy in the case of the innominate vein,at the junction of the internal jugular and subclavian veins, using for the purpose acontinuous suture of fine antiseptic silk. A small wound may be dealt with byholding up the edges of the rent with forceps and passing a ligature round 2 has made a study of the process of rep
. Text-book of operative surgery . factorily after suture. Accordingto Jacobsthal,^ Czerny was the first (1881) to adopt suture of a vein in man; whilea year later Schede published a series of cases and brought the Operation intogeneral repute. We have adopted it successfuUy in the case of the innominate vein,at the junction of the internal jugular and subclavian veins, using for the purpose acontinuous suture of fine antiseptic silk. A small wound may be dealt with byholding up the edges of the rent with forceps and passing a ligature round 2 has made a study of the process of repair follomng suture of veins. Apart from the control of h^emorrhage, ligature of veins is chiefly undertaken toproduce artificial changes in the circulation, ligature of the saphenous vein forvaricose veins in the lower extremity being one of the best-known and most Avidelyperformed Operations. Ligature of veins may also be undertaken for the eure of ^ Samml. klin. Vorträge, 1905. ^ Chir., 1895. i6o OPERATIVE SURGERY. Fig. 70.—Teclinique of end-to-end arterial enture(Carrel). The lumen of the artery is converteclinto triangulär shape, and the tinest silk and needles openecl Ollt in aare used. The cut ends are simirily nnited with nj^rl stitclied continuous suture. varices elsewhere. In tlie lower extremity the object of ligature is to relieve hydrostatic pressure. The superior longitudinal sinus is ligatured for the eure of epilepsy, a method of treatment recently advanced and recommended by Delageniere. Carrel ^ has recently shown tliat a portion of a vein can be utilised to replace a defect in an artery by means of aplastic Operation, the former beingsutured between the two ends of theartery. Carrel and Guthrie- haveeven suggested that in cases wherean artery is obliterated, the circu-lation may be reversed and gangreneprevented by uniting the central partof the artery with the peripheralpart of the vein. We here reproducetwo diagrams from Carrels work
Size: 1686px × 1482px
Photo credit: © Reading Room 2020 / Alamy / Afripics
License: Licensed
Model Released: No
Keywords: ., bookcentury1900, bookdec, booksubjectsurgicalproceduresoperative
