Early history of the operation of ligature of the primitive carotid artery : with a report of forty-eight unpublished cases : and a summary of forty-four cases, with remarks, by Valentine Mott / by James R. Wood.

  • Wood, James R. (James Rushmore), 1816-1882.
Date:
1857
Catalogue details

Licence: Public Domain Mark

Credit: Early history of the operation of ligature of the primitive carotid artery : with a report of forty-eight unpublished cases : and a summary of forty-four cases, with remarks, by Valentine Mott / by James R. Wood. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    duces ; the erysipelatous attacks have become more fre- quent ; the breathing is so much interfered with, that the patient is obliged to keep the mouth open in respiration ; she is rapidly failing from repeated losses of blood. Under these circumstances, the consultation were unanimously in favor of the ligature of the primitive carotid of the left side. Operation.—Dr. Stephen-Smith ligated the primitive car- otid in presence of a large class of students, April 24, 1857. Drs. James P. Wood, Willard Parker, L. A. Sayre, and J. J. Crane were present and assisted in the operation. Anaes- thetics were not used on account of the difficulty in res- piration produced by the tumor. The jugular vein was not seen during the operation ; there was an unusual number of small vessels in the course of the operation which required to be ligated. The wound was dressed with sutures and ad- hesive strips. The patient bore the operation with remark- able fortitude, and her pulse scarcely varied. An anodyne was given to procure sleep. April 25.—Patient slept well last night, though there was considerable excitement in the ward, owing to the fact that several patients had been operated upon that day ; her pulse was 92, and full; the wound looking well, the dressings were not disturbed. P.M.—Some oedema around wound ; says that she feels less pain in the tumor than before the operation ; allows it to be pressed upon more firmly than before operation. April 26.—Pulse 94, full ; wound looking well, except there is more oedema, and a slight erysipelatous blush around the wound. The integuments over tumor are less tense and shining than heretofore; they can be corrugated without the patient making much complaint; discharge from left naves diminished somewhat; there was a slight discharge of blood from inner portion of tumor immediately after breakfast; the wound was dressed ; lotio plumbi et opii continued to wound as on previous day ; anodyne at night. April 27.—Pulse 96 ; the erysipelatous appearance more marked ; pil. colocynth co. No. iv. ordered ; lotio plumbi et opii to wound ; no oozing of blood. April 28.—Pulse SS; strong; erysipelas subsiding on face; discharge from nose slight; no haemorrhage; ligatures on small vessels all removed ; does not complain so much of mastication of food ; wound dressed. April 29.—Pulse 90; the morphia which had previously been given in large quantities, lias been diminished ; the lan-