A manual of minor surgery and bandaging for the use of house surgeons, dressers and junior practitioners.

  • Christopher Heath
Date:
1862
Catalogue details

Licence: Public Domain Mark

Credit: A manual of minor surgery and bandaging for the use of house surgeons, dressers and junior practitioners. Source: Wellcome Collection.

Provider: This material has been provided by The University of Leeds Library. The original may be consulted at The University of Leeds Library.

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    ii.i:m()11UIIa(ii; imio.m uisii.vsi'; 2] placed below the wound, uutil the assistance of the visiting surgeon can be obtained, since operative in- terference of some kind will certainly be required. Patients who have received, a few days before, a wound of the principal artery, which has been treated by bandaging, are occasionally brought to an hospital on account of a continual oozing, or perhaps a sudden gush of blood ; and on examination a tumour is found in the limb, with a small orifice from which the blood emerges. I would caution the house-surgeon against interfering with such a case fui'ther than to put a tour- niquet on the artery; for the tumour is probably a false aneurism of large size, and will require an opera- tion of no small moment for its cure. TVotmJs of llie palmar arch are sometimes laid great stress upon, as if their treatment diftered in any way from that of wounds of arteries generally. G racluated pressure, properly applied and maintained, together ■with, flexion of the elbow, may generally be relied on, provided the parts are not interfered with and the dressings disturbed too early.* WoiDids of veins give comparatively little trouble, and the IhTmorrhage is readily arrested by pressure, if the vein is of moderate size. A ligature may occa- sionally be required on a large vein, and may be applied without much apprehension as respects phle- bitis, &C. n.5;i[0KiinAaE rnoii disease. Bleeding may. occur from vascular or malignant growths on the surface of the body, and, from the low condition of the patient, it may be highly desirable that * See a case of woiiiul of the palmar arch, in which the dress- ings were removed every rmrniny, with the following results; —ligature of tlie radial; ditto of hrachial; amputation of arm: pytemia and death ! ' Lancet,' May 27th, 1859.