Operative treatment of aneurisms of the third portion of the subclavian artery / by Edmond Souchon.

  • Souchon, Edmond, 1841-1924.
Date:
1895
Catalogue details

Licence: Public Domain Mark

Credit: Operative treatment of aneurisms of the third portion of the subclavian artery / by Edmond Souchon. 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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    Deductions—Right Idiopathic Aneurisms. Thus of fifty-six operated cases of idiopathic aneurisms of the right side, eight cases recovered; Syme, Green, Coppinger, Smyth, Monod, Schopf, and two amputations at the shoulder. Out of forty-nine ligations of all kinds, four recovered (Green, Coppinger, Smyth, Monod), Out of forty-three proximal ligations, three recovered (Green, Coppinger, Smyth). In one of these recoveries three arteries were ligated, the innominate, common carotid, and the vertebral (Smyth). Of eleven proximal ligations of the third portion, one only recovered (Green). Of six distal ligations of the third portion and of the axillary, with or without simultaneous ligation of the common carotid, only one recovered (Monod). The dreaded complications accountable for such appalling results are as follows ; In twenty-nine of the fifty-six cases hsemorrhage occurred. In eleven there was sepsis, inflammation, erysipelas. In one gangrene (Codes, 1813). In two cerebral symptoms (Pirogoff, Durante). In one shock (O’Grady). General Remarks. Here we must make a halt and meditate upon the following most remarkable and impressive facts. The multiplicity of the operations, the ingenuity, and die boldness of the struggling surgeons deserve more than a passing notice. Their dogged and sublime obstinacy, their undaunted courage in combating this redoubtable disease and their fortitude under defeat, are most wonderful. Baffled at every turn and dis- heartened for a while they always rise again with the dangei and gather new strength in presence of new perils. They always prove equal to them and devise new plans after each signalled failure. The disease is attacked in every conceivable way , one artery'after the other is tied, first alone, then two, then three, and