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.

    95/654 (page 69)
    Although the result of this first experiment might be adequate to solve the problem, whether the ul- ceration takes place more quickly after the artery is tied according to the method you have proposed, or after it is tied circularly, yet I was not convinced, and my perplexity arose from the doubt that I had tied the artery too firmly with the ligature; and, con- sequently, that instead of exciting the adhesive pro- cess in its parietes, it had produced the ulcerative process. These doubts, therefore, induced me to make a second attempt. On the 4th August, having applied a ligature of the same size with the preceding round the caro- tid of an old glandered mare, affected with gene- ral stiffness of the limbs, I tied it with a simple knot, so that in spite of the rigidity of its parietes, they were approximated with the least possible puckering. Thirty-seven hours afterwards the ligature was re- moved, and the wound was dressed in the usual way; it was beginning to suppurate. The following day, that is, twenty-four hours after the ligature was withdrawn, on proceeding to examine the mare, I perceived from the lower angle of the wound an ooz- ing of pale blood, resembling the washings of flesh. This having brought me into a dilemma, I immedi- ately resolved to examine from whence this oozing proceeded. The dressings were scarcely removed, and the edges of the wound separated, when there immediately gushed out in large jets a bright vermi- lion-coloured blood, leaving no doubt that it pro- ceeded from the carotid itself. At the moment, by a rapid dissection, the wound was enlarged to a suffi- cient size, and the artery laid bare, so as to allow a- nother ligature to be applied both above and behind tire point from which the effusion proceeded. And