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One of these, larger than the rest, eluded for a time the efforts of Doctor Hillhouse at ligation, and he felt uncertain about it even after he had stopped the effusion of blood. In fact, his hand had become unsteady and his brain slightly confused. The active stimulant taken half an hour before was losing its effect and his nerves beginning to give way.
Attention must be directed towards the condition with which the phlebitis is associated. Ligation of the vein on the cardiac side of the thrombus with a view to preventing embolism is seldom feasible in the peripheral veins, although, as will be pointed out later, the jugular vein is ligated with this object in cases of phlebitis of the transverse sinus.
Intra-thoracic complications, such as pleurisy or pneumonia, are not infrequent when there are adhesions to the chest wall and pleura. Rupture may take place externally, into the shoulder-joint, or into the pleura. Extirpation of the sac is the operation of choice, but, if this is impracticable, ligation of the third part of the subclavian may be had recourse to.
Pleydell, the deed is a well-drawn deed, properly authenticated and tested in forms of the statute. 'But recalled or superseded by another of posterior date in your possession, eh? said the Counsellor. 'Something of the sort, I confess, Mr. Pleydell, rejoined the man of business, producing a bundle tied with tape, and sealed at each fold and ligation with black wax. 'That deed, Mr.
It is characterised by the usual symptoms, and is treated by palliative measures, or by ligation of the artery above and below the point of communication. Aneurysm in the #leg and foot# is rare. It is almost always traumatic, and is treated by excision of the sac.
In other cases they are due to aneurysm of the ophthalmic artery, to thrombosis of the cavernous sinus, and, in rare instances, to cirsoid aneurysm. If compression of the common carotid is found to arrest the pulsation, ligation of this vessel is indicated.
Proximal ligation in the case of high aneurysms, or distal ligation in those situated at the root of the neck, is more certain. Extirpation of the sac is probably the best method of treatment, especially in those of traumatic origin. These operations are attended with considerable risk of hemiplegia from interference with the blood supply of the brain.
The disease is probably due to congenital defect aggravated by frequent attacks of glossitis, and the treatment consists in the removal of the protruding portions by the knife, ligation, the cautery, or ecraseur. Living Fish in the Pharynx. Probably the most interesting cases of foreign bodies are those in which living fish enter the pharynx and esophagus.
If infection be excluded, there is little risk of thrombosis or secondary hæmorrhage; and even if thrombosis should develop at the point of suture, the artery is obstructed gradually, and the establishment of a collateral circulation takes place better than after ligation.
#Gangrene following Ligation of Arteries.# After the ligation of an artery in its continuity for example, in the treatment of aneurysm the limb may for some days remain in a condition verging on gangrene, the distal parts being cold, devoid of sensation, and powerless. As the collateral circulation is established, the vitality of the tissues is gradually restored and these symptoms pass off.
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