. Journal - American Medical Association. rom the tape. 5. For several valuable suKsestlons In regard to the constrictorI nm Indolited to Mr. Ole Olson, surgical Instrument manufacturer,of OaUland, Car 708 TRBATMESr Ol AS FAIIISM—ST1!.\TT0S. Jour. A. M. A. plied rose and fell with eiicli aortic pulsation. The abdominalincision was closed around the gauze and instrument. Thelatter was covered with loosely Huffed gauze and cotton andthe dressings so arranged that no pressure would fall on theconstrictor. The patient stood the operation comparativelywell. He was soon conscious after its close. He
. Journal - American Medical Association. rom the tape. 5. For several valuable suKsestlons In regard to the constrictorI nm Indolited to Mr. Ole Olson, surgical Instrument manufacturer,of OaUland, Car 708 TRBATMESr Ol AS FAIIISM—ST1!.\TT0S. Jour. A. M. A. plied rose and fell with eiicli aortic pulsation. The abdominalincision was closed around the gauze and instrument. Thelatter was covered with loosely Huffed gauze and cotton andthe dressings so arranged that no pressure would fall on theconstrictor. The patient stood the operation comparativelywell. He was soon conscious after its close. He vomitedslightly at this time. Postoperative History.—April 5, 4:20 p. m.: The patientwas in good condition; pulse, 84. There was considerableseepage of blood, and the wound was redressed. The constrictorwas tightened until a decided impression was made on theaneurismal pulsation and on the femoral pulse. After this thepulse was 80. The patient was not distressed by this proce-dure. At 10 p. m. he was in good condition; pulse was 84,. Kig. 4.—Aneurism and coagula removed from artery. B. Site of application of artery. E. Inferior mesenteric artery. I-^. Itigmesenteric artery. One-fourth actualC. Celiac renal artery. < full. Pulsation in the aneurism was about as forcible as be-fore the afternoon treatment. The windlass was tighteneduntil there was a decided lessening of force of the femoralpulse and pulsations in the aneurism were just constrictor had a strong tendency to bend downward andto twist from left to right. April G, 10 p. m.: The patient had a comfortable night,sleeping well. Temperature was normal; pulse, 84. He had nodesire for food or drink. There was no paralysis; pulsation inthe femoral artery was more pronounced than immediately fol-lowing last constriction, but not so marked as after the pre-vious treatment. The radial pulse was full. Constriction ofIho aorta was advanced so as to leave a just perc
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Keywords: ., bookcentury1800, bookdecade188, booksubjectmedicine, bookyear1883
