Synopsis
This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1885 Excerpt: ...operation is imperatively required to prevent death from hemorrhage. The use of the ligature is, on the other hand, contra-indicated (1) by the presence of any complication--such as extensive arterial or cardiac disease, the existence of internal aneurism, old age, or the prevalence of erysipelas--which would probably render the operation peculiarly dangerous; (2) by the locality of the aneurism being such that pressure or flexion would probably be sufficient to effect a cure, as in many aneurisms of the brachial, femoral, and popliteal arteries; and (3) by the locality of the aneurism being such, that, from the proximity of anastomosing branches, or from any other cause, the operation would almost certainly terminate unsuccessfully--the imminence of rupture being in such a case the only circumstance; that could justify operative interference. Multiple aneurism is usually, though not always, a contra-indication; thus, if two aneurisms exist on the same limb, they may both be cured by the same operation;l or double popliteal aneurism by ligation of both femoral arteries; in most cases, however, the existence of more than one aneurismal tumor contra-indicates, though it may not positively forbid, ligation. Though I have said that ligation is contra-indicated in many cases of popliteal aneurism, yet I believe that in other instances it is the best mode 1 I'emberton has recorded a case in which three aneurisms on the same limb were by ligation of the external iliac artery. of treatment. The operation, however--which, though delicate, is not in itself very dangerous--should not, of course, be indiscriminately resorted to. If the aneurism be quite small, pressure will probably suffice for a cure, and even if it fail, will do little or no harm; and hence, in such ...
"synopsis" may belong to another edition of this title.
