A System of Surgery; Theoretical and Practical Volume 3

A System of Surgery; Theoretical and Practical Volume 3

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This historic book may have numerous typos and missing text. Purchasers can download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1870 edition. Excerpt: ...consists in the suppuration of the sac and the ejection of the whole tumour by a process of sloughing. In this process, as in other instances of sloughing-, the artery, for some distance on either side of the gangrenous part, is closed by ooagulum, so that hemorrhage does not take place, as might have been apprehended.t Or, in other cases, the sac may slough, and the artery, not. being thus sealed, may give way, and the patient survive the hEemorrhage thus occasioned; syncope is produced, and coagulation occurs during this syncope, sealing the mouth of the artery. This, at least, is Dr. Crisp's opinion, but it is doubted by Broca; nor do I find references in Dr. Crisp's work to the cases upon which such an opinion is founded. Inflammation without suppuration, in the neighbourhood of the sac, is also spoken of by Broca and others as an occasional cause of spontaneous cure. I have not been able to find any cases which are, to my mind, quite satisfactory. Some, as the case reported by Mr. Sidey, appear to have been cures by impaction of clot. The surgical treatment of aneurism, as far as it is successful and rational, is merely an artificial imitation of these processes. The treatment by gradual and partial compression of the artery above the tumour, has no other aim than to imitate nature in the first of the processes described above, so as to slacken the circulation through the aneurism, and allow the blood in it an opportunity of coagulation. The Hunterian operation has essentially the same object, although it accomplishes it in a somewhat different way, and by obliterating a portion of the artery above the tumour puts a more decided, but at the same See Mortification, vol. i. p. loo. t See the cases related by IIoclr, on, op. cit. pp....show more

Product details

  • Paperback | 372 pages
  • 189 x 246 x 20mm | 662g
  • Rarebooksclub.com
  • Miami Fl, United States
  • English
  • black & white illustrations
  • 123657625X
  • 9781236576255