. Medical and surgical therapy . )ad, but thepatient insisted upongetting out of theambulance unaided ;haemorrhage recom-menced, and he diedin a few Fig. 63.—Digital compression of thefemoral artery. (After Farabeuf.) At the field ambulance the surgeon finds eithera large wound filled with clots or, more frequentl}-,a penetrating wound and a diffuse haematoma. Inthe case of the first, immediate operation with theobject of controlling the haemorrhage is the case of the second, immediate operation isalso indicated with the object of evacuating thehaematoma and preventing i
. Medical and surgical therapy . )ad, but thepatient insisted upongetting out of theambulance unaided ;haemorrhage recom-menced, and he diedin a few Fig. 63.—Digital compression of thefemoral artery. (After Farabeuf.) At the field ambulance the surgeon finds eithera large wound filled with clots or, more frequentl}-,a penetrating wound and a diffuse haematoma. Inthe case of the first, immediate operation with theobject of controlling the haemorrhage is the case of the second, immediate operation isalso indicated with the object of evacuating thehaematoma and preventing its recurrence. The neces-sity for immediate intervention in diffuse haematomaof the thigh cannot be too strongly size of the haematoma exposes the limb to thedanger of rapid gangrene. In the case of a shell-wound tlie imminence of grave infection and of gas 238 WOUNDS OF THE VESSFJLS gangrene is so menacing, that operation should notbe postponed for even a few hours. The first stage of operationI ^ consists in temporary haemo- / ^\ // stasis by Securing temporarily ^^^ ^ the arterial trunk above the wound. If the hsematoma isin Scarpas
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectsurgery, bookyear1918
