Excerpt from Richmond and Louisville Medical Journal, Vol. 24: July, 1877
Ous, when they must all be tied, or it may be necessary to secure the humeral vessel. What effect obstruction of any cur rent would have upon the bleeding may be ascertained by pressure on the vessels supposed to supply the wounded point. Although Dr. Joseph Pancoast and others have ligated all three of the vessels at the same time, the exceeding difficulty of so complete an Operation, and the extensive violence it is likely to inﬂict are manifest. Ligation of one branch with compression of the other may serve a useful purpose. In a case of wound of the radial between the metacarpal bones of the index finger and thumb, the haemorrhage was permanently arrested by liga.
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