Ligature of the left common iliac artery : being the second operation in Ireland, and the first successful case of it / by William Hargrave.

  • Hargrave, William, active 1865.
Date:
1865
Catalogue details

Licence: Public Domain Mark

Credit: Ligature of the left common iliac artery : being the second operation in Ireland, and the first successful case of it / by William Hargrave. Source: Wellcome Collection.

Provider: This material has been provided by King’s College London. The original may be consulted at King’s College London.

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    his removal to the country, now nineteen days; no permanent improve- ment from change of air, and the weather magnificently fine 5 tumour slowly diminishing, but the contents still fluid near Poupart’s ligament. July 5th : Brought to the hospital; virtually no permanent improve- ment, while a large pelvic abscess presenting in each nates, freely com- municating from side to side between the rectum anteriorly, and the sacrum and coccygeal bones posteriorly, from which, by puncture, twelve to fourteen ounces of thin, foetid pus of a feculent odour flowed, mixed with gases; the abscess was opened in each nates. It Decoct, cinch, gv., tree cinch, co. §i., chlor. pot. 3i-i acid. mur. dil. 3i*i syrup, cort. aurant. 3iv-5 tree opii 3»-i ter, horis. ^ Sulp. quinse, gr. xxx., camp, gr. xviii., pil xii. cap. ii., unam sing., dose decoct, cinch. 7th, sixty-ninth day: Quiet night; abscess discharging; freely in- jected or washed out with a solution of permanganate of potash ; pulse fuller, but he is much prostrated. 8th, seventieth day: Restless night; continued drain from the ab- scess—very foetid; gangrene not extending; aneurism diminished in size and getting hard. When the abscess was injected with the solution of permanganate of potash, he suffered more pain than yesterday. Ten p.m.: Ordered mur. morph, gr^, to be repeated. 9th, seventy-first day : Arterial haemorrhage at seven a.m., from the abscess in the right pelvis, arrested by liq. fer. perchlor. Found him very weak and chilled ; wine and stimulants rallied him. 10th, seventy-second day : Passed an uneasy night; no haemorrhage : took forty-eight ounces of wine yesterday. Tumour reduced to a very small size ; the wound very flabby, and not inclined to heal; line of de- marcation on the whole circumference of the tarsus well marked, ex- posing the extensor tendons and plantar fascia. Ten p.m.: Rambling ; pulse frequent and small; great discharge from right nates, of a rusty colour, not very foetid. It Sp. am. arom. liq. Hoffman anod., sp. lavand co., sp. chloroform and camp, julap. 11th, seventy-third day: Smart arterial haemorrhage at ten a.m. from the right nates, but little blood lost; arrested by compress and liq. ferri perchloride. Gradually sinking, and expired about nine p.m. Post-mortem examination hj Mr. Tufnell and Mr. Croly.—An incision was
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