A short manual of surgical operations.

  • Arthur E. J. Barker
Date:
1887
Catalogue details

Licence: Public Domain Mark

Credit: A short manual of surgical operations. Source: Wellcome Collection.

Provider: This material has been provided by the Augustus C. Long Health Sciences Library at Columbia University and Columbia University Libraries/Information Services, through the Medical Heritage Library. The original may be consulted at the the Augustus C. Long Health Sciences Library at Columbia University and Columbia University.

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    LIGATURE OP THE COMMON FEMORAL ARTERY. This operation may now be considered aa almost obsolete, having been abandoned in favour of either Liga- ture of externa] iliac or superficial femoral. It will Dot therefore be described. LIGATURE OF THE SUPERFICIAL FEMORAL ARTERY. Instruments as above. Position of Patient.—Supine, with thigh and leg slightly flexed and everted, supported with a pillow (fig. 2). Position of Operator and Assistants.—The operator stands on the outside of the limb; his assistant on the opposite side of the body. Landmarks for Incision and Operation.—A line drawn from the middle of Poupart's ligament to the most pro- minent part of the internal condyle gives the direction of the artery. From a point two and a half inches below the ligament, a four-inch incision (fig. 1,/; fig- 2, a) is made downwards directly in this line. This should divide the skin and fat, and expose the fascia lata. After division of the latter the inner border of the sartorius muscle is found and drawn outwards with a broad retractor, on which the common fascial sheath, in which the artery and vein are contained, is well seen. This is now opened for a little distance with the knife held flat, cutting on the point of a forceps in which a small portion of the sheath is seized. Then the special sheath for the artery is opened in the same way, the vessel is thoroughly cleared for a short distance, and one edge of the opening is held by an assistant in a catch-forceps, while the other edge is steadied by the surgeon with his dissecting-forceps. Then the needle, unarmed, is passed under the vessel from either side,