Ligature of the external iliac artery, followed by secondary haemorrhage / by James R. Wood ; reported by Geo. Amerman.

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

Licence: Public Domain Mark

Credit: Ligature of the external iliac artery, followed by secondary haemorrhage / by James R. Wood ; reported by Geo. Amerman. 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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    The interesting facts in the above case may be summed tfp as fol- lows :—The pulsation in the posterior tibial artery was absent until the seventh day after the operation. On the thirteenth, the ligature from the external iliac was removed. On the eighteenth, secondary haemorrhage supervened; five days after the ligature came away. Pressure by the hand was kept up twelve days, from the eighteenth to the thirtieth day, after the operation. The shot, bandage, and compress were then substituted. On the twenty-eighth day after the operation, and tenth after the haemorrhage, pulsation of the external iliac artery entirely disappeared. On the thirty-eighth, part of the shot were removed, the remainder with a compress and bandage applied as before. On the sixty-fifth day after the operation, and forty-seventh after the haemorrhage, all the dressings were removed and the patient dis- charged cured. The following collection of cases exhibits the dangers of secondary haemorrhage, complicating ligature of the external iliac :— Cases of Secondary Hemorrhage after Ligature of the External Iliac:— Operator. Ligature sepa- rated. Date of Hsem. Treatment. Result. Abernethy. 5th day. Died. Mouland. ' 24th day. Cured. Dupuytren. 16th day. 24th day. Pressure. Cured. Todd. 21st day. 24th day. Lig. reapplied. Died. B. Cooper. 19 th day. Died. Ilewson. 29 th day. Gth day. Pressure. Cured. Lallemand. 5 th day. Died. Baroni. 19 th day. 40th day. Laid open tumor. Died. Power. 5 th day. Died. A. Cooper. 17th day. Died. Adams. 28th day. 18th day. Pressure. Died. Smith. 7 th day. Pressure. Died. Ogden. 8th day. Died. Wood. 13th day. 18 th day. Pressure. Cured. Summary.—Number of Cases, 14; recovered, 4; died, 10.