Sinossi
This historic book may have numerous typos and missing text. Purchasers can usually download a free scanned copy of the original book (without typos) from the publisher. Not indexed. Not illustrated. 1870 edition. Excerpt: ...right external iliac, for aneurism, in a patient at the Episcopal Hospital, with perfect success. Xo account of the case has as yet been published; it is mentioned merely that it may be added to fhe statistics. The ligature came away on the twenty-sixth day.) (4) Ligation of the internal iliac artery may have to be done either for wound or aneurism of this vessel or one of its branches. (The branches are: within the pelvis, the ilio-lnmbar, lateral sacral, middle hemorrhoidal, superior and inferior vesical, and in the female the uterine and vaginal; outside of the pelvis, the obturator, internal pudic, sciatic, and gluteal.) Operation.--This differs very little from that for ligation of the external iliac. The latter vessel, which must be passed over in order to get to the internal, should be interfered with as little as possible. In Fig. 5, PI. XXXII, the passing of the ligature is shown, as done with a single-curved aneurism-needle; and I think that with ordinary care there would be no danger in so doing. If, however, following the direction of most authorities, the thread is passed from within outward, the double-curved needle (Fig. 72) would be more convenient, as it would be indeed in the method shown in the plate. Another plan is to make the incision about five inches long, parallel with and a little to the outer side of the epigastric artery. But this method, although it perhaps lessens the amount of bleeding likely to occur (which is at best of no great importance), seems to me to involve the more serious risk of exposing a larger portion of peritoneum, and by a wound less easily closed, than the one before described. (5) Ligation of the gluteal artery may perhaps be best mentioned here, as it is a branch of the internal iliac,...
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