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Updated: June 21, 2025
The Hunterian operation ensures that the ligature is applied to a part of the artery that is presumably healthy and where relations are undisturbed by the proximity of the sac; the best example is the ligation of the superficial femoral artery in Scarpa's triangle or in Hunter's canal for popliteal aneurysm; it is on record that Syme performed this operation with cure of the aneurysm on thirty-nine occasions.
Ehrlich, Ficker, Klein, Rodforffer, and the Ephemerides, all record instances in which a large tongue was removed either by ligation or amputation. Von Siebold records an instance in which death was caused by the ligature of an abnormally sized tongue. There is a modern record of three cases of enormous tongues, the result of simple hypertrophy.
When electrolysis is employed, it should be directed towards the afferent vessels; and if it fails to arrest the flow through these, it is useless to persist with it. In some cases ligation of the afferent vessels has been successful. #Arterial Angioma# or #Cirsoid Aneurysm#. This is composed of the enlarged branches of an arterial trunk.
He was seen thirty minutes later in an apparently lifeless condition, but efforts at resuscitation were successfully made. Baron Larrey mentions a case of gunshot wound in which the carotid artery was open at its division into internal and external branches, and says that the wound was plugged by an artilleryman until ligation, and in this primitive manner the patient was saved.
Amputation of the limb is indicated in cases complicated by suppuration, by secondary hæmorrhage after excision or ligation, or by gangrene. Amputation at the shoulder was performed by Fergusson in a case of subclavian aneurysm, as a means of arresting the blood-flow through the sac.
One died; but the fatal influence was not specially connected with the wound of the duct. Possibly the boldest operation in the history of surgery is that for ligation of the abdominal aorta for inguinal aneurysm.
There is an equal delusion in both, and the one doth but seem to be the emblem or picture of the other; we are somewhat more than ourselves in our sleeps, and the slumber of the body seems to be but the waking of the soul. It is the ligation of sense, but the liberty of reason; and our waking conceptions do not match the fancies of our sleeps.
If there is marked disease of the vessel, Matas' operation is not possible and recourse is then had to ligation of the artery just above the sac. Extirpation of the Sac The Old Operation. The procedure which goes by this name consists in exposing the aneurysm, incising the sac, clearing out the clots, and ligating the artery above and below the sac.
We have had cases under observation in which the treatment referred to has been followed by such an amount of improvement that the patient has been able to resume a laborious occupation for one or more years. Christopher Heath found that improvement followed ligation of the left common carotid in aneurysm of the transverse part of the aortic arch.
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.
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