Laparotomy in the treatment of spontaneous gluteal and sciatic aneurisms / by by [sic] Frederic S. Dennis.

  • Dennis, Frederic S. (Frederic Shepard), 1850-1934.
Date:
[1886]
Catalogue details

Licence: Public Domain Mark

Credit: Laparotomy in the treatment of spontaneous gluteal and sciatic aneurisms / by by [sic] Frederic S. Dennis. 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.

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    cure, and which would diminish the high rate of mortality. With these important questions in mind, a new operation was necessary to make the treatment of gluteal aneurism satisfactory. With a view to the settlement of the first question, namely, the accomplishment of a permanent and a radical cure in gluteal aneurism, it would seem that the application of the principle of John Hunter in the treatment of aneurism in general would be espe- cially adapted to this form of aneurism. The ligature of the main artery on the proximal side in healthy arterial tissue yields the best results. The principle of compression is not applicable here, though in the form of Esmarch’s bandage in certain aneurisms this plan has met with most brilliant success. 1 he injec- tion of coagulating fluids into the sac, and all he other operations are obviously not suited to the gluteal aneurism. While in theory and practice the Hunterian method is the best operation in tho. forms of aneurism in which compression by elastic bandage is inadmissible, the same pn net pie holds good in gluteal aneurism. If it can be shown that The ligation of the internal iliac on the proximal side of the aneurism can be performed with immunity from those accidents which have caused death the diffic ult problem of a safe and permanent method of cure has been solved. It remains, therefore to show that when the Hunterian operation has. been performed the causes of death have been a ttbtfed to certain defects in the method of ligating the internal iliac artery, and that if any p an can the aneurism, but at the .amt eration free from danger to the patien , a this fatal has been established for the treatment of this fat disease.