Arterial ligation for irremovable cancer of pelvic organs : technic adapted and amplified / by William Seaman Bainbridge.

  • William Seaman Bainbridge
Date:
[1911]
Catalogue details

Licence: In copyright

Credit: Arterial ligation for irremovable cancer of pelvic organs : technic adapted and amplified / by William Seaman Bainbridge. 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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    ligature has been traced by Wyeth,* and his own admirable original work detailed. Interest in the procedure was again aroused, in 1903, when Dawbarn** reviewed the history of the subject briefly, and detailed his own modi- fication of the method by the exsection of the external carotid and its main branches, and the injection of the terminal branches with liquid paraffin, after the suggestion of Wyeth. Our own work in connection with carotid ar- tery ligation will be published at a later date.*** Starvation Ligature in the Treatment op Malignant Pelvic Tumors. The application of the starvation ligature to the pelvic organs was first recorded by Fritsch,' who, in 1885, advised and practised ligation of the uterine arteries in a case of fibroma of the uterus. He was followed by a number of sur- geons. To Baumgartner seems to belong the credit for having first tied arterial blood vessels in the treatment of irremovable cancer of the uterus, report of which was published in 1888. The uterine arteries were ligated by way of the vagina when this was possible, or they were merely divided and clamped. When the uterine arteries could not be reached by way of the vagina the ligature was applied to the anterior trunk of the internal iliac, at the origin of the uterine artery. Unfortunately, no details are given concerning the technic which he employed. Kelly, in 1893, ligated the internal iliac ar- teries in the treatment of a case of cancer of * Wyeth, John A.,—“Surgical Anatomy and History of the Common, External and Internal Carotid Arteries,” 1878. ** Dawbarn, Robert H. M,,—“Starvation Treatment of Certain Malignant Growths,” 1903. *** In addition to those treated by ligation of pelvic arteries, and by other means, several patients were pre- sented at the Annual Clinic who had been benefited by operation according to the Dawbarn method.
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