The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . following man-ner (Fig. 472):— ilr. Abernethy, however, in 1798, had tied the primitive carotid, in the case of a man goredin the neck by a cow, the primary branches of the external carotid being torn off, and the inter-nal carotid opened. Finding that he could stop the bleeding by compressing the common trunkbetween his thumb and a finger within the wound, he placed a ligature around the vessel. Thebleeding was suppressed, but the patient died about thirty hours after the operation (Surg.
The international encyclopaedia of surgery; a systematic treatise on the theory and practice of surgery . following man-ner (Fig. 472):— ilr. Abernethy, however, in 1798, had tied the primitive carotid, in the case of a man goredin the neck by a cow, the primary branches of the external carotid being torn off, and the inter-nal carotid opened. Finding that he could stop the bleeding by compressing the common trunkbetween his thumb and a finger within the wound, he placed a ligature around the vessel. Thebleeding was suppressed, but the patient died about thirty hours after the operation (, vol. ii. p. 72, Am. ed.). Mr. Fleming, in 1803, successfully ligatured the primi-tive carotid for hemorrhage from a self-inflicted wound of the neck (Medico-Chirurgical Journal,vol. iii. p. 50). But, to Sir Astley Cooper the credit is unquestionably due of having firstplanned and executed this operation, in 1805, for the relief of III.—19 290 INJURIES OF BLOODVESSELS. (1) Place the patient on liis back, with his head extended and inclined tothe opposite side. Fig. Surgical anatomy of the neck. (S6dillot.) (2) Make a cutaneous incision, two and a half inches in length, betweenthe two heads of the sterno-cleido-mastoid muscle downward to the clavicle, FiR. 472.
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