A practical treatise on the arterial system : intended to illustrate the importance of studying the anastomoses, in reference to the rationale of the new operation for aneurism ; and the surgical treatment of hoemorrhage / by Thomas Turner.

  • Turner, Thomas, 1793-1873.
Date:
MDCCCXXV. [1825]
Catalogue details

Licence: Public Domain Mark

Credit: A practical treatise on the arterial system : intended to illustrate the importance of studying the anastomoses, in reference to the rationale of the new operation for aneurism ; and the surgical treatment of hoemorrhage / by Thomas Turner. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    17 5 the ligature on the main trunk, at no great distance from the aneurism, then supposition would lead us to believe, that the coats of the artery are sound, and in their natural state. We may then, fairly question the propriety of tying the femoral artery, for popliteal aneurism, in the situation which Scarpa directs, viz. in the upper third of the thigh; above where Hunter proposed. His reason for this practice, viz. to avoid the necessity of removing the sartorius muscle too much from its position, or of turning it back for the purpose of exposing the artery, is good so far as it facilitates the operation; but we have in view the removal of the disease, and therefore we should look to the effects, of operating so high up, on the anastomosing vessels. In this case, the ligature is applied below the bifurcation of the femoral artery ; a considerable space is left between the ligature and the aneurismal swelling, and from the femoral trunk included in this space pass off many muscular branches, which freely communicate with those of the profunda; on these accounts, I believe Scarpa’s proposal to be more objectionable than that of Hunter ; for the latter incurs little risk of failure from a morbid state of the artery, another reason assigned for Scarpa’s