Address in surgery : delivered at the Annual Meeting of the British Medical Association, held at Birmingham, August 8th, 1872 / by Oliver Pemberton.

  • Pemberton, Oliver, 1825-1897.
Date:
1872
Catalogue details

Licence: Public Domain Mark

Credit: Address in surgery : delivered at the Annual Meeting of the British Medical Association, held at Birmingham, August 8th, 1872 / by Oliver Pemberton. 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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    1(3 through the aneurism by making pressure on the artery above, but I found I could greatly limit the current, by making pressures on the sac itself. The question being raised of an operation, I advised— that as a ligature could hardly be applied to a sound artery, other than in the course of the common iliac, and bearing in mind the vicinity of the bifurcation, no operation should now be performed; but that Dr. Carte’s compressor, under careful management, should be applied to the sac itself. Accordingly under my directions two senior students* remained with the patient. The treatment extended over a period of six weeks. During the first fortnight little good was effected. Then, for eight consecutive days pressure was applied, on an average of seven and a half hours per day. The pressure effectually retarded the circulation—nothing more—and was never applied for more than three or four hours at a time. Conse- quently, the patient was not wearied, and had undisturbed nights. There was now a complete interval of nine days, during which no pressure was applied, the aneurism being firmer and with less pulsation, and he was allowed to move about in his room. Then followed nine days of treatment, averaging six hours and a half per day. From this time the aneurism ceased to pulsate, and the patient gradually resumed his ordinary avocations. He is yet living, in his eighty-third year, active and well. In December lastf the remains of the aneurism * Tho late Mr. Dennis Moore, of Walsall, and Dr. Neal, of Birmingham. f Letter from Mr. Earlam, of Abbotts Bromley.
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