Origin of the epigastric and obturator arteries by a common trunk from the internal iliac : with an inquiry into the amount of danger occasioned by various positions of arteries in the ordinary operations for femoral and inguinal hernia / by P. Redfern.

  • Redfern, Peter, 1821-1912.
Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: Origin of the epigastric and obturator arteries by a common trunk from the internal iliac : with an inquiry into the amount of danger occasioned by various positions of arteries in the ordinary operations for femoral and inguinal hernia / by P. Redfern. Source: Wellcome Collection.

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    hemorrhage, soon after the operation, restrained by the application of sponge ; recovery. Recorded by Mr William Chalmers.1 8. Scarpa says,2 in speaking of wounds of the epigastric artery, « I have had the misfortune to be an eye-witness of this severe and irreparable accident, supervening upon an operation performed in a dexterous manner, and with the greatest facility.” 9 and 10. Bertrandi writes,3—“ I can affirm that I have opened the bodies of men who have died a few hours after this operation, although performed with great facility, dexterity, and quickness, so that the operators thought highly of themselves on that account; and they were quite astonished, and could not understand the cause of so unexpected death; but their astonishment ceased when they saw the abdomen full of blood, discharged from this artery (the epi¬ gastric) wounded. 11. Leblanc4 also speaks of having seen the epigastric cut by expert operators. 12. Mennel5 opened an artery in cutting the stricture inwards. The hemorrhage was considerable, but was controlled after a quarter of an horn. 18. Saviard6 (Obs. 20) saw a hemorrhage which occurred half- an-hour after an operation, and was arrested by compression. Four or five palettes (sixteen to twenty ounces) of blood were lost. Numerous cases are recorded where death resulted from wounds of the epigastric and other arteries in the operation of paracentesis. Mr Edward Ford 7 relates a case of Mr Pearson’s, in which death took place in twelve hours, and a large quantity of coagulated blood was found in the abdomen; and at page 135 of the same publica¬ tion, he speaks of a like case, where he stopped very serious hemorr¬ hage by pressure of the integuments and muscles between the fingers and thumb for six hours. Mr Ford also knew of similar hemorrhage in the hands of other surgeons. Dr James Carmichael Smyth8 gives the case of a man, set. 36, who died in forty-eight 1 Medical and Philosophical Commentaries by a Society in Edinburgh. London, 1773. Vol. i., p. 413. 2 Wishart’s Translation of Scarpa on Hernia, p. 125. 3 Traite des Operations de Chirurgie, traduit de Fltalien. Paris, 1769, p. 29. 4 Precis d’Operations. Paris, 1775. Tom. ii., p. 129. 5 See F. A. Waitz, Med. Chirurg. Aufsatze, vier Theil, p. 123. 6 Traite des Hernies de A. G. Richter. Par J. C. Rougemont. Seconde Edition, Cologne. Tom. i., p. 324. 7 Medical Communications. London, 1790. Vol. ii., p. 136. 8 Medical Communications, vol. ii., p. 482.