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In pre-Listerian days, the silk ligature around the artery likewise favoured the changes that lead to secondary hæmorrhage, and the interesting observation was often made, that when the collateral circulation was well established, the leakage occurred on the distal side of the ligature.
There was sadly too much truth in the saying of another eminent surgeon, that in the pre-Listerian days many a poor woman's death warrant was written under the fingernails of her surgeon. This reproach has been wiped out, thank Heaven! but the labor, pains, and persistence after heart-breaking failures which it took to do it!
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