Ligature of the external iliac artery, followed by secondary haemorrhage / by James R. Wood ; reported by Geo. Amerman.

  • James Rushmore Wood
Date:
[1857?]
Catalogue details

Licence: Public Domain Mark

Credit: Ligature of the external iliac artery, followed by secondary haemorrhage / by James R. Wood ; reported by Geo. Amerman. 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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    was seen by Dr. Wood. At 3 o'clock I saw him, and he was doing well. At 4 o'clock Dr. Hitchcock, one of the House Staff, was hur- riedly summoned to see him. He found him bleeding profusely. The blood welled up from the wound, and so rapidly, that he thought he must have already lost from two to three pints. (The time from the occurrence of the haemorrhage until Dr. H. saw the patient, could not have been more than two minutes.) Dr. H. immediately compressed the artery and controlled the haemorrhage. Dr. Wood was sent for, and, after seeing the case, decided to keep up the pressure during the night, and call a consultation of the Yisiting Staff the next day at 10 o'clock, a.m. Pressure was kept up, by the hand placed over the artery, without any difficulty, or inconvenience to the patient. His pulse remained good, 100, and ful]^-one grain of morphine given to procm*e sleep. December 27.—Pulse, 100; slept the greater part of last night. A consultation was held at 10i o'clock, a.m., and it was decided to keep up steady pressure with the hand over the artery until a compress and bandage could be safely applied. December 28.—Doing well; pulse, 100; sleeps well; wound dis- charging some pus ; continue pressure. January 5.—Since the last note, patient has been doing extremely well; not a single untoward symptom; pressure has been kept up night and day. The wound has nearly united. Pulsation in external iliac entirely disappeared. January 7.—Same as at last note. Pressure discontinued, and four pounds of shot, with a graduated compress and double spica bandage substituted. January 15.—Doing well. Two pounds and nine ounces of shot removed; the remainder, with a compress and bandage, applied as before. January 21.—All the shot removed. Compress and bandage re-applied. February 11.—Sixty-fifth day after the operation and forty-seventh after the ha3morrhagc; patient in good health; he wears a truss over the cicatrix of the wound. The limb is normal in size, tempera- ture, and sensibility. Its nutrition is good. The original tumor has nearly disappeared; it is scarcely perceptible to the sight, but is quite easily felt beneath the skin. The epigastric artery is felt pulsat- ing above the wound. The femoral entirely obliterated; the other arteries in the upper part of the thigh enlarged; the anastomatica magna distinctly felt, and its pulsations arc communicated to the re- mains of the tumor. Patient, discharged cured.