Arterial ligation for irremovable cancer of pelvic organs : technic adapted and amplified / by William Seaman Bainbridge.

  • Bainbridge, William Seaman, 1870-1947.
Date:
[1911?]
Catalogue details

Licence: In copyright

Credit: Arterial ligation for irremovable cancer of pelvic organs : technic adapted and amplified / by William Seaman Bainbridge. Source: Wellcome Collection.

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    is ever possible where once the glands are af¬ fected, but I believe that at least a retardation is possible.” Pryor ligated, through a median abdominal in¬ cision, the ovarian, the internal iliac, and the obturator arteries. He simultaneously ligated both internal iliacs for malignant disease of the uterus in thirty-four cases, with one fatality. In his experience, life was much prolonged and suf¬ fering diminished. Polk, in 1896, Hartmann and Fredet, from 1897 to 1900, de Rouville, in 1904, Cantier, in 1907, and a number of others to whose contributions refer¬ ence cannot here be made, have added to the literature of arterial ligation in the treatment of neoplasms of the pelvic organs. The scope of this paper does not permit of an analysis of the various cases reported and the technic applied in each. In fact, in many of the instances recorded the technic is not detailed. There is quite enough evidence of a favorable nature, however, to warrant a wider application of the method in the treatment of irremovable cancer of the pelvic organs than is now made. Anatomical Considerations. The effectiveness of arterial ligation in the per¬ manent control of hemorrhage, and in the retar¬ dation of the malignant process in the pelvic re¬ gion, is in a measure contingent upon the appli¬ cation of the ligature or ligatures with reference to the possibilities for the free anastomosis of the vessels supplying the diseased area, or for the establishment of a recurrent circulation. Hartmann and Fredfct concluded from their observations that, in the matter of hemostasis, the ligation of the uterine arteries alone is su¬ perior to the ligation of the trunks from which these vessels arise. In their experience the de¬ velopment of the tumor was not apparently in¬ fluenced, the only results obtained being a tem¬ porary diminution of the hemorrhages and offen-