Surgical cases and observations / [Richard Carmichael].

  • Richard Carmichael
Date:
1818
Catalogue details

Licence: Public Domain Mark

Credit: Surgical cases and observations / [Richard Carmichael]. Source: Wellcome Collection.

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    of the artery, (as recommended by Scarpa,) but to which it is so firmly attached, that the cutting edge only, and not the handle of the knife or fingers can effect it, and few I believe would have the rashness to use the knife in this situation. Several instances recur to my recollection, of patients sinking under amputations, after having exhibited a train of symptoms similar to those de¬ tailed in the last case ; but at the time not sus peeling any affection of the veins, X did not ex¬ amine into their state after the death of the path cuts. X am however persuaded, that this cir¬ cumstance is a frequent cause of such deaths as follow amputations, and other extensive wounds, and X shall illustrate this observation by the foL lowing case for which I am indebted to my friend Mr. Read of Mercer’s Hospital** • *'*- . . < * i * When this paper was going to press, I met with the fol¬ lowing passage in Mr. Hennen’s valuable observations on Military Surgery, concerning the various causes of death af¬ ter amputation. “ Id some cases the veins, in others the arteries, and in others again both the veins and arteries, will be found inflamed, from the point of the stump to the yery auricle and ventricle; and in many parts either lined with coagulable lymph, or filled with purulent matter to various distances. In the dissections conducted by Messrs, Dobson, Bingham and Crofton, after the battle of Waterloo, we met with no less than twelve cases where the veins were inflamed, and where at the same time purulent matter was found in the ar¬ teries with a considerable thickening of their coats.” This passage, among numerous other instances, demonstrates
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