Hygienic and medical reports [electronic resource] . on the skin over the femoral artery be-came very sensitive; venous congestion of the leg occurredwhenever the pressure was fully applied, and it became neces-sary to nse the tourniquet less and less. January 19, 1878, a modified Signoroni tourniquet, orderedespecially for the case from Tiemann, was applied with betterresults for a while. A few weeks later the inferior supportingpad was made broader and more curved, and other slightchanges, from time to time, were rendered necessary. A smallabscess in the anal fossa gave considerable anno^wic
Hygienic and medical reports [electronic resource] . on the skin over the femoral artery be-came very sensitive; venous congestion of the leg occurredwhenever the pressure was fully applied, and it became neces-sary to nse the tourniquet less and less. January 19, 1878, a modified Signoroni tourniquet, orderedespecially for the case from Tiemann, was applied with betterresults for a while. A few weeks later the inferior supportingpad was made broader and more curved, and other slightchanges, from time to time, were rendered necessary. A smallabscess in the anal fossa gave considerable anno^wice in June,but the general condition of the aneurism slowly imi^roved untilAugust 12, 1878, when, upon making the slight exertion of get-ting out of bed, he felt something giving way again in the pop-liteal space, suffered some pain, and became very much fright-ened. Upon examination the tumor was found larger, softer, andmore diffused. Xo pulse could be detected in the posterior ora:iterior tibial arteries; leg and foot Avere cold, while the pulsa-. POPLITEAL ANEURISM. 793 tion in the sac was more marked than ever before. The patientwas at once confined to his bed, the femoral circnhition well con-trolled by tonrniqnet, and next day a slight increase of tempera-ture was found in the affected limb. By September 1 he seemedagain as well as at any time since admission to hospital. Thetumor liad resumed very nearly its usual size—that of a largegoose-egg; he had recovered so completely the use of his rightleg that he went up and down stairs without discomfort, andbut slight uneasiness was felt in the poi)liteal space. September 17, 1878, the patient having been prepared by aweeks rest in bed, I ligated the femoral artery. An incision,three and a half inches in length, was made over the superficialfemoral, disclosing a considerable degree of condensation of thetissues from previous instrumental pressure, and the fascia-sheath and vessels were found to be quite firmly knit together
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Keywords: ., bookcentury1800, bookdecade1870, booksubjectnavalmedicine, bookye
