Simultaneous ligation of both internal iliac arteries for hypertrophy of the prostate gland (Bier's method) / by Willy Meyer.

  • Meyer, Willy, 1858-1932.
Date:
1894
Catalogue details

Licence: Public Domain Mark

Credit: Simultaneous ligation of both internal iliac arteries for hypertrophy of the prostate gland (Bier's method) / by Willy Meyer. 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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    SIMULTANEOUS LIGATION OF BOTH INTERNAL ILIAC ARTERIM.^FOR HYPERTROPHY OF THE PROSTA^GLAND (BIER’S mp:thod)P By willy MEYER, M.D., OF NEW YORK, PROFESSOR OF SURGERY AT THE NEW YORK POST-GRADUATE MEDICAL SCHOOL AND HOSPITAL, ATTENDING SURGEON TO THE GERMAN AND TO THE NEW YORK SKIN AND CANCER HOSPITALS. OF all the operations which have been proposed for the radical cure of the hypertrophied prostate, none, I believe, ap- peals more to our sound judgment than the ligation of both internal iliac arteries. The method has suggested itself to Dr. Bier, of Kiel, first assistant to Professor von Esmarch, on con- sidering the effects of ligation of the uterine arteries for myoma uteri, of ligation of the thyroid arteries in cases of goitre, and of ligation of the nutrient arteries in fibroid tumors of the breast. He had observed in cases of the latter kind that a fibroma had disappeared two years after the operation, and yet the woman was able to nurse her child, which had been born meantime, equally well with both breasts, there being not the slightest atrophy of the one formerly operated upon.^ Bier concludes that it is a fact that “ benign tumors of muscles, glands, and con- nective tissue can entirely disappear or be greatly reduced in size by diminishing their blood-supply, the function of the parts involved generally not being interfered with. ^ Remarks made before the New York Surgical Society on April ii, 1894, pre- senting the patient. ^ The operation consisted in encircling the upper and outer periphery of the breast with an incision which went down to the muscle, preparing off the breast from the underlying tissues, so that the entire organ was held by the skin bridge towards the inner and outer periphery only. All bleeding vessels and the arteries leading to the breast were ligated, and the tumor especially bluntly undennined all around. Then the breast was replaced and the skin-wound closed by suture.