The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . Fig. Case of Robert Watson ; lun .imu n mpurism. Case of Robert Watsou, soveu weeks aicer operation In thus dealing with an aneurism of the innominate by attacking itsbranches, it is evident that a certain choice lies open to the surgeon. Hemay either elect to tie, at the same operation, the common carotid and thesubclavian, third or first part, or he may ligature one of these vessels as afirst step, reserving the other to some favorable opportunity. These pro-cedures are called doub
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . Fig. Case of Robert Watson ; lun .imu n mpurism. Case of Robert Watsou, soveu weeks aicer operation In thus dealing with an aneurism of the innominate by attacking itsbranches, it is evident that a certain choice lies open to the surgeon. Hemay either elect to tie, at the same operation, the common carotid and thesubclavian, third or first part, or he may ligature one of these vessels as afirst step, reserving the other to some favorable opportunity. These pro-cedures are called double distal ligations, the former being qualified as simultaneous, the latter as consecutive. Or he may content himself withtying only one of the vessels in question, the one selected being usually thecarotid, though in a few instances the subclavian only has been tied. Havingthen this wide choice, the surgeon requires certain ^ upon which tobase his decision: first, as to the propriety of adopting any operative mea-sure ; and secondly, as to what that measure should be. The former consideration is at the
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