A treatise on aneurism : with numerous additions, and a Memoir on the ligature of the principal arteries of the extremities / by Antonio Scarpa ... ; with engravings ; translated from the Italian, with additional cases and an appendix, by John Henry Wishart.

  • Scarpa, Antonio, 1752-1832.
Date:
1819
Catalogue details

Licence: Public Domain Mark

Credit: A treatise on aneurism : with numerous additions, and a Memoir on the ligature of the principal arteries of the extremities / by Antonio Scarpa ... ; with engravings ; translated from the Italian, with additional cases and an appendix, by John Henry Wishart. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    ation for aneurism, with regard to the connections of the artery, as are employed after amputation, and without being obliged to divide it, the same results will be obtained, and these more certainly and steadily, if we avoid rupturing with the ligature the internal and middle coats of the artery.* The advantage which some surgeons expect from the retraction of the di- vided artery between the two ligatures, will be equally obtained from placing the operated limb merely in a proper relaxed posture. Heister,f Cal- lisen,:j: and Richter$ were well acquainted with this fact, and, therefore, did not hesitate to assert, that the division of the artery between the two ligatures is, at the most, an indifferent operation. But I am of opinion, that this mode of ligature suggested by Celsus, cannot even be considered as * The failure of the ligature of the principal artery of a limb after amputation, takes place, for the most part in those cases, where, from internal or external causes, the stump is attacked with that species of mortification called Hospital Gangrene, which preventing or impeding the action of the adhesive inflammation of the tied artery, while the ulcerative process, promoted by the pressure of the circular ligatm*e, opens the artery still in a state pervious to the blood. t InstituL Chirurg. vol. i, page 425. Vincta, prouti diximus, arteria, proximo sub vinctura loco transversa concidi a quibusdam solet, quo scilicet, retractis, et clausis arteria? vulneratae oris, pro- fusiones sanguinis periculosa? melius prsecaveantur. Verum no- xium, vel saltern supervacuum, hoc ipsum negotium esse judico, atque ipsemet hanc operationem bis institui, ut arteriam non prae- ciderim, et feliciter nihilo minus agrotos curaverim. % Principia System. Chirurg. vol. i, pag. 478. Arteriam inter vincula mediam discindere, ob extremorum retrotractionem, no- cuum et superfluum merito habitur. § Elem. di. Chirurg. vol. i, cap. xiii, p. 232. xhe dividing the artery, after it has been tied, is not only useless, but- even injuri- ous, because if hemorrhage were to occur, it would be very dif- ficult to find it again, and tie it a second time. b 2