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As Middlemas returned to his senses, he was sensible that his blood felt more cool; that the feverish throb of his pulsation was diminished; that the ligatures on his person were removed, and his lungs performed their functions more freely.
Upon a due consideration of this singular superstition, it must be obvious to any person of sense that these pretended ligatures are, in fact, the consequence of an enfeebled constitution, weak intellects, and sometimes of an ardent imagination, an over-excited desire which carries the vitality to the head, and diverts it from its principal direction.
To effect this, after the bowels have been loosened by cooling clysters bleeding will be necessary. Therefore, open a vein in the arm, if she is not with child; the day after strike the saphena in both feet, fasten ligatures and cupping glasses to the arm, and rub the upper part. Purge gently with cassia, rhubarb, senna and myrobalan.
As in the preceding stages, the muscle fibers of the uterus supply the power in question, and because of this role an observant obstetrician once called them, "living ligatures." Certain of these fibers encircle the mouths of the blood- vessels which have been left open through the detachment of the placenta. When they contract the vessels are squeezed, impeding the escape of blood.
Of the remaining five, three were dosed with alcohol in large quantities. In several of the cases, notably those of the children, there seemed to be at least an even chance of recovery, when the ligatures binding the affected limb were loosened to relieve the pain, with quickly fatal results.
The same thing will also appear in regard to ligatures, and wherefore they are said to draw; though this is neither from the heat, nor the pain, nor the vacuum they occasion, nor indeed from any other cause yet thought of; it will also explain the uses and advantages to be derived from ligatures in medicine, the principle upon which they either suppress or occasion hemorrhage; how they induce sloughing and more extensive mortification in extremities; and how they act in the castration of animals and the removal of warts and fleshy tumours.
The hemorrhage was trifling, the wound healed up by the first intention and the ligatures were drawn away in a few days, when a perfect cure was effected the conjunctiva having lost its inflammatory appearance, and the cornea having again become quite transparent. The other eye was operated on in the same way and with like success.
Uncle Mo showed ignorance of gardening, saying it might grow itself on again if you giv' it a chance; not if you kep' on at it like that. Dave disagreed with this view, but respectfully. His Hospital experience had taught him the use of ligatures; and he kept on at it, obtaining from Mrs. Burr a length of her wide toyp to tie it in position. If limbs healed up under treatment, why not vegetation?
They should be removed from the caskets in which they are sterilised by means of sterilised forceps, and handed direct to the surgeon. The assistant who attends to the swabs should wear sterilised gloves. Ligatures and Sutures. To avoid the risk of implanting infective matter in a wound by means of the materials used for ligatures and sutures, great care must be taken in their preparation.
The wound was at once opened and blood found oozing from the distal extremities of the carotid artery and jugular vein, which were promptly clamped. The common carotid artery was not sound, so that ligatures were applied to the internal and external carotids and to the internal jugular with a small branch entering into it.
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