The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . eft of the umbilicus, according tothe case, and ending near the external abdominalring, with its convexity toward the ilium (White). The internal iliac artery was ligatured for the firsttime in 1812, by Stevens, of Santa Cruz ; the opera-tion proved successful. Since his time, the opera-tion has been frequently repeated, the whole num-ber of cases being about twenty-seven, with eightrecoveries. Ligation of the Gluteal Artery. — SurgicalAnatomy.—The gluteal artery emerges from thepelvis, th
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . eft of the umbilicus, according tothe case, and ending near the external abdominalring, with its convexity toward the ilium (White). The internal iliac artery was ligatured for the firsttime in 1812, by Stevens, of Santa Cruz ; the opera-tion proved successful. Since his time, the opera-tion has been frequently repeated, the whole num-ber of cases being about twenty-seven, with eightrecoveries. Ligation of the Gluteal Artery. — SurgicalAnatomy.—The gluteal artery emerges from thepelvis, through the upper margin of the great sacro-ischiatic foramen, and at the upper border of thepyriformis muscle. It is covered by the gluteusmaximus muscle. It is accompanied by two veins,and by the gluteal nerve. Operation.—A line drawn from the posteriorsuperior spinous process of the ilium to the apex ofthe trochanter major indicates the course of theartery. Place the patient on his belly, with histhigh extended. Make an incision four or fiveinches in length, on the line just mentioned, through. Ligation of the ^cX^ gluteal ar-tery. (Follin.) A. Gluteus maxi-mus. B. Gluteal artery. C. Glu-teal veins. 314 INJURIES OF BLOODVESSELS. Fig. 497. the skin and subcutaneous adipose tissue (Fig, 496). It will run parallel withthe libres of the gluteus maximus muscle, which should be separated, and atinger introduced, in order to find the artery by its pulsations. Then sepa-rate the pyriformis and gluteus medius muscles, between which it lies, andthe borders of which cover it. Isolate the artery from its venae comites, andpass the ligature around it, taking care not to include the gluteal nerve. The gluteal artery was tied in 1808 by Bell, and in 1833 by R. Carmiehael;since that time the procedure has been repeated by several others, and maynow^ be considered an established operation. Ligation of the Ischiatic Artery (Fig. 497).—Surgical Anatomy.—Theischiatic artery escapes from
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