Anatomy of the arteries of the human body : descriptive and surgical, with the descriptive anatomy of the heart / by John Hatch Power.

  • Power, John H. (John Hatch), 1806-1863.
Date:
1881
Catalogue details

Licence: Public Domain Mark

Credit: Anatomy of the arteries of the human body : descriptive and surgical, with the descriptive anatomy of the heart / by John Hatch Power. 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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    of the immediate shock given to the system, or of the diminished supply of Mood sent to both the lower extremities. Sir A. Cooper says he has ascertained that if the aortic plexus be tied with the artery, the lower extremities are rendered paralytic and the animal dies ; but these consequences do not occur if the plexus be not included in the ligature. Ligature of the Aorta.—The cases of this operation amount to seven, in all of which death resulted in a very short period. No. Operator. Date of Operation. Results and Observations. 1 2 3 4 5 6 7 Cooper Murray Monterio South M'Guire Stokes 1817 1829 1834 1842 1856 1868 1869 Death on 2d day after the operation. Death on the evening of the day on which the operation was performed. Death in twenty-three hours. Death from haemorrhage, on 10th day after operation. Death in forty-two hours. Death in twelve hours. Death in thirteen hours. Sir A. Cooper's Case.—A patient in Guy's Hospital had violent bleeding just above the left groin, from an aneurismal tumour of the external iliac artery. The integuments had sloughed, and the patient was exceedingly reduced from loss of blood. Under these circumstances, and finding it impossible from the size of the tumour to secure the iliac artery, Sir A. Cooper felt justified in tying the aorta. The operation was performed in April 1817. He made an incision into the linea alba three inches long, allowing a curve in it to avoid the umbilicus. In this manner the sac of the peritoneum was opened, and the fingers were then conveyed to the artery, which was readily distinguished by its strong pulsations. The peritoneum was then lacerated with the finger nail, in order to allow the ligature to be conveyed around it at about three quarters of an inch above its bifurcation. During the operation the fasces were involuntarily discharged. The patient died on the second day after the operation, and his death is ascribed by Sir A. Cooper to want of circulation in the aneurismal limb, which led him to observe that in an aneurism similarly situated, the ligature must be applied before the swelling has acquired any very considerable magnitude. * In his Surgical Lectures he * Surgical Essays, vol. i. p. 114.