United States or Austria ? Vote for the TOP Country of the Week !
It is less successful than the proximal ligature, and is therefore restricted to aneurysms so situated as not to be amenable to other methods; for example, in aneurysm of the common carotid near its origin, the artery may be ligated near its bifurcation, or in aneurysm of the innominate artery, the carotid and subclavian arteries are tied at the seat of election. Compression.
One felt immediately that one's hands and feet were peculiarly large and awkward, or one's last remark hopelessly banal, or one's birthplace in some cheap and innominate region outside of Manhattan. So long as Miss Wardrop remained under forty, Mr. Lispenard had held aloof.
To the former class belong the actions on sale, hire, unauthorised agency, agency proper, deposit, partnership, guardianship, loan for use, mortgage, division of a 'family, partition of joint property, those on the innominate contracts of sale by commission and exchange, and the suit for recovery of an inheritance.
The available operative measures are proximal ligation of the innominate, and distal ligation. In some cases it has been found necessary to combine distal ligation with amputation at the shoulder-joint, to prevent the collateral circulation maintaining the flow through the aneurysm. Matas' operation has been successfully performed by Hogarth Pringle.
Consequently, if a man gives clothes to a fuller to clean or finish, or to a tailor to mend, and the amount of hire is not fixed at the time, but left to subsequent agreement between the parties, a contract of hire cannot properly be said to have been concluded, but an action is given on the circumstances, as amounting to an innominate contract.
The os innominatum may be so fractured that the pelvic girdle is broken, as in fracture of the iliac shaft, or in a manner that the girdling continuity of the innominate bones is not interrupted. It naturally follows that greater injury is done when the pelvic girdle is broken than when it is not, except in cases where the acetabulum is involved and its brim not completely divided.
Further, it seems not unlikely that the present objection to tying an artery in the immediate vicinity of a large branch may be done away with; and that even the innominate, which has lately been the subject of an ingenious experiment by one of the Dublin surgeons, on account of its well-known fatality under the ligature for secondary haemorrhage, may cease to have this unhappy character when the tissues in the vicinity of the thread, instead of becoming softened through the influence of an irritating decomposing substance, are left at liberty to consolidate firmly near an unoffending though foreign body.
Healed gastric ulcer. Moderate arteriosclerosis, slight cardial hypertrophy. Granular cystic kidneys. Mucous polyp and subperitoneal fibromyoma of uterus. Autopsy: Aortic and innominate aneurysm, hypertrophy and dilatation of heart. Interstitial nephritis. The brain, normal macroscopically, proved microscopically to show, in all areas examined, superficial gliosis.
In like manner, the inferior thyroid veins, whose blood flows into the innominate, are obstructed by valves at the point of junction. We quote from him as follows: "There are two pairs of valves in the external jugular and one pair in the internal jugular, but in recognition of their uselessness they do not prevent regurgitation of blood nor liquids from passing upward.
Aneurysm near the origin has to be diagnosed from subclavian, innominate, and aortic aneurysm, and from other swellings solid or fluid met with in the neck. It is often difficult to determine with precision the trunk from which an aneurysm at the root of the neck originates, and not infrequently more than one vessel shares in the dilatation.
Word Of The Day