Observations on aneurism : and its treatment by compression / O'Bryen Bellingham.

  • Bellingham, O'Bryen, 1805-1877.
Date:
1847
Catalogue details

Licence: Public Domain Mark

Credit: Observations on aneurism : and its treatment by compression / O'Bryen Bellingham. Source: Wellcome Collection.

Provider: This material has been provided by the Francis A. Countway Library of Medicine, through the Medical Heritage Library. The original may be consulted at the Francis A. Countway Library of Medicine, Harvard Medical School.

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    seated artery. * * * * la the only instance In which I have known it employed, the patient insisted upon the removal of the instrument in less than an hour after its application. The pain which was produced by continued pressure was insupportable. Mr. Guthrie, in his work on Aneurism, published in 1830, observes— The application of pressure by means of a spring pad has been tried, and has sometimes, though very rarely, succeeded. The process is long, the pain great, and there is danger of the part sloughing; the pain, indeed, is so great that few persons can be persuaded to submit to it, and those surgeons who have tried it once, will not again put it in competition with the operation. Mr. White, one of my colleagues at the Westminster Hospital, tried it in a case of popliteal aneurism in a woman ; she bore the pain heroically for five days, but the parts compressed sloughed deeply. The cure was completed ; but the pain, danger, and risk incurred, were infinitely greater than any which could have been sustained from the usual operation. I watched the progress of the case with great attention, and will not be easily induced to use that or any other instrument for such a purpose. Sir Astley Cooper, in his Surgical Lectures, edited by Lee, which were published in the year 1836, speaking of compression in aneurism, observes— Very many years ago, I had an iron ring made, with a pad on the outer side and a screw on the opposite ; this was put on the limb, pressure on the outside was made against the thigh, and on the inside against the artery.— fThis instrument was probably the original of the ring tourniquet already described.]—The use of this was worse than the operation • I applied it on a man, and he kept it on only twenty-four hours. In three hours from its first application he began to complain of pain ; in a