A system of surgery : pathological, diagnostic, therapeutic, and operative . Pliysicks artery forceps. often exceedingly perplexing, is most liable to happen in cases of secondaryhemorrhage after wounds and amputations. The remedy is to isolate the vessela short distance beyond its diseased limits, and to ligate it there in the usualmanner; or, this being impracticable, to tie the diseased part along with more orless of the surrounding tissues; or, this also failing, to cut down upon and securethe main trunk of the artery. In tying an artery in its continuity, whether as a means of arresting h
A system of surgery : pathological, diagnostic, therapeutic, and operative . Pliysicks artery forceps. often exceedingly perplexing, is most liable to happen in cases of secondaryhemorrhage after wounds and amputations. The remedy is to isolate the vessela short distance beyond its diseased limits, and to ligate it there in the usualmanner; or, this being impracticable, to tie the diseased part along with more orless of the surrounding tissues; or, this also failing, to cut down upon and securethe main trunk of the artery. In tying an artery in its continuity, whether as a means of arresting hemor-rhage, or of curing disease, the ligature is passed round the vessel by means ofan aneurism-needle, fig. 221, a kind of blunt tenaculum, with an eye at the free Fig. Aneurism-needle, armed with a ligature. extremity. The point of the instrument is gently carried round the vessel, with-out including any of the accompanying structures, steady counter-pressure beingmade with the end of the forefinger, especially as it penetrates the connectingcellular tissue. The precise situation of an artery is determined by its pulsation, and by itsanatomical relations. Sometimes its course may be accurately defined by stretch-ing a line from one point to another. At the commencement of the operation, thelimb should be forcibly extended, as the muscles and tendons will then be ren-dered most prominent; but, as the dissection proceeds, the object will be greatlypromoted by flexing the limb in order to relax the soft parts. That the arterymay not be wounded, its sheath should be carefully pinched up with the forceps,nicked slightly with the scalpel, and then slit open to the distance of a few linesupon a grooved director. Isolation is best effected with the point of
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Keywords: ., bookcentury1800, booksubjectgeneralsurgery, booksubjectsurgery
