The treatment of haemorrhage from the posterior-tibial artery in the upper two-thirds of its course / by William Harrison Cripps.

  • Cripps, Harrison (William Harrison), 1850-1923.
Date:
[1875]
Catalogue details

Licence: Public Domain Mark

Credit: The treatment of haemorrhage from the posterior-tibial artery in the upper two-thirds of its course / by William Harrison Cripps. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

    12/14 (page 104)
    These were the holes of entrance and exit of the bullet. For a few hours these holes had been closed by clots of blood, which each pulsation threatened to force out. Eepeated bleedings had reduced the patient to a state of great weakness. I advised a ligature should be placed on the femoral artery. If the ligature did not turn out as I expected, or should prove insufficient, it would be the first part of an amputation, not more dangerous by being performed at two different intervals. I tied the femoral. Great attention was paid to keeping the limb warm. When the ligature came away, the w^ound rapidly healed, and in three months M. de Gombaut walked as well as he had done before the acci- dent.’ Case XIV. Mr Caesar Hawkins tied the femoral for repeated haemorrhage after a compound fracture of the leg. The patient recovered. Case XV.—‘Lancet' 1835, p. 460. A boy, aged 15. Deep cut through gastrocnemius and soleus; immediate and profuse haemorrhage to the extent of three or four pints (May 2d). On being taken to the North London Hospital, two large trunks were tied in the wound. On the 14th sudden haemorrhage from the posterior tibial to the extent of fourteen ounces. Stopped by pressure of finger in the wound. Severe bleeding on the 25th and 26th, wound lengthened, and posterior tibial tied higher up. On the 27th again profuse bleeding. Patient nearly dying. Popliteal tied. No more haemorrhage. Complete recovery. Cases XVI and XVII. Two cases reported by Guthrie. Femoral tied. Haemorrhage recurred. Both these were after a battle. Case Lancet,' 1861, vol. ii. p. 227. Simple fracture in upper third, on June 23d, a rupture of pos- terior tibial artery. Limb much swollen from knee downwards ; toes cold; bullae had arisen on dorsum of foot and back of leg. Amputation for special reasons not performed till July 2d; limb in a state of gangrene; died about an hour later. Case 'XA'K.— Medical Times,' 1853, p. 592. In a clinical lecture by Lawrence, he mentions a case of punc- tured wound of the posterior tibial. The bleeding having ceased,