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Updated: June 15, 2025


And then, wherefore is there neither swelling nor repletion of the veins, nor any sign or symptom of attraction or afflux, above the ligature? But this is the obvious cause of the preternatural attraction and swelling below the bandage, and in the hand and fingers, that the blood is entering abundantly, and with force, but cannot pass out again.

"You can come in," he said, pointing with a lofty air to a table whereon were pens and paper, "and write your message." And then rang an electric bell, which summons brought a second powdered footman, who was, as it were, a Corsican Brother or Siamese Twin, without the ligature, to the first. Clarissa scrawled a few hasty lines on a sheet of paper, and folded it.

He should not make a post-mortem examination without an order in writing from the coroner. In making a post-mortem examination, the alimentary canal should be removed and preserved for further investigation. A double ligature should be passed round the oesophagus, and also round the duodenum a few inches below the pylorus.

"As we have noted, in connection with the tight ligature, that the artery above the bandage was distended and pulsated, not below it, so, in the case of the moderately tight bandage, on the contrary, do we find that the veins below, never above, the fillet swell and become dilated, while the arteries shrink; and such is the degree of distention of the veins here that it is only very strong pressure that will force the blood beyond the fillet and cause any of the veins in the upper part of the arm to rise.

The ball had cut the ligature which bound his "greegree" of shells around his head, and the faithless charm lay on the ground beside him. Already, the flies were beginning to cluster about the dead man's mouth. The attacking party, to which these slain individuals belonged, were of the Barroky tribe.

"What should it be for," said the doctor to Gerard, "but to cauterize the vein when opened and the poisonous blood let free? 'Tis the only safe way. Avicenna indeed recommends a ligature of the vein; but how 'tis to be done he saith not, nor knew he himself I wot, nor any of the spawn of Ishmael.

For a time the wound seemed to be progressing favorably, but the unlucky complication of the ligature threw him back. "Much pain and some fever," he wrote to a friend soon after his arrival; and while he kept up fairly before his wife, who spoke of his spirits as very good, he confessed to St. Vincent, on the 18th of September, that he was then not the least better than when he left the fleet.

Concurrently and by the same process the external clot is converted into scar tissue. If a divided artery is ligated at its cut end, the tension of the ligature is usually sufficient to rupture the inner and middle coats, which curl up within the lumen, the outer coat alone being held in the grasp of the ligature.

Gurlt, in his "History of Surgery," has some quotations from Serapion the elder, who is often quoted by Rhazes. In the treatment of hemorrhoids Serapion advises ligature and insists that they must be tied with a silk thread or with some other strong thread, and then relief will come. He prefers the ligature, however.

Should much blood escape, a ligature must be applied before opening the peritoneal sac; since, if this precaution is omitted, blood will escape into the abdomen, which may occasion the most serious consequences. For the first eight days succeeding, the animal should have a light diet, and a soothing, lukewarm draught; if the weather should be cold, cover with a woollen covering.

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