. Modern surgery, general and operative. .—Method of controlling hem-orrhage by ligature (after Esmarch): a,x\rtery ligated; b, lateral ligature of vein. wound, not tied but fastened by forceps after tightening. What ever planis employed must be gentle. The circulation is to be controlled but on noaccount is the vessel to be damaged. Phleborrhaphy is suturing of a vein, with pre-servation of the lumen of the vessel. It is usedwhen complete ligation is undesirable (as in alarge vein), and when lateral ligation withoutobliteration of lumen is impossible. It is com-monly employed for longitudinal
. Modern surgery, general and operative. .—Method of controlling hem-orrhage by ligature (after Esmarch): a,x\rtery ligated; b, lateral ligature of vein. wound, not tied but fastened by forceps after tightening. What ever planis employed must be gentle. The circulation is to be controlled but on noaccount is the vessel to be damaged. Phleborrhaphy is suturing of a vein, with pre-servation of the lumen of the vessel. It is usedwhen complete ligation is undesirable (as in alarge vein), and when lateral ligation withoutobliteration of lumen is impossible. It is com-monly employed for longitudinal wounds andfor wounds in any direction when the length ofthe wound is greater than the diameter of thevessel. Fine catgut or silk may be used. Anintestinal needle threaded with silk is entirelysatisfactory. The thread is passed through theexternal coat and part of the middle coat on eachside of the wound. Interrupted sutures are employed and thus the two lips ofthe wound are approximated. A vein completely divided across can be united. Fig. 241.—Arrest of hemorrhage by passing a sutureligature.
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Keywords: ., bookcentury1900, bookdecade1910, bookidmodernsurger, bookyear1919
