Lectures on the American eclectic system of surgery / by Benjamin L. Hill.

  • Hill, B. L. (Benjamin L.)
Date:
1850
Catalogue details

Licence: Public Domain Mark

Credit: Lectures on the American eclectic system of surgery / by Benjamin L. Hill. Source: Wellcome Collection.

Provider: This material has been provided by the University of Massachusetts Medical School, Lamar Soutter Library, through the Medical Heritage Library. The original may be consulted at the Lamar Soutter Library at the University of Massachusetts Medical School.

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    LIGAT[i\G ARTERIES OF THE JNECK. (319 LECTURE LIX. OPERATIONS ON THE NECK, THORAX AND ABDOMEN. Wry neck may be caused by spasmodic or permanent mus- cular contraction, bad cicatrization (page 463) or be connected with disease of the cervical or even lower vertebrae in general spinal curvature. In the first case, when other medical and mechanical means fail, the constricting muscular tendon or fascia is to be ascertained, and divided by the sub-cutaneous section, no more external wound being made than necessary to admit the instrument. The snapping back of the muscle will tell when it has been completely severed;—a compress should be immediately applied to prevent sub-cutaneous haemorrhage. In all operations about the neck, as in removing tumors, if they are not very superficial, special care is required, on ac- count of the number and variety of nerves and vessels to be avoided, (see page 457.) Even the removal of a common parotid tumor may be followed by palsy of the face. [For all I have to say about knife-operations in the TiiVRom GLAND, see under Bronchocdc, page 309.] LIGATING ARTERIES OF THE NECK. The same general principles apply to the tying of arteries when wounded, as for aneurism or other morbid cause (see page 449) except that the icoundcd artery should here have a ligature below as well as above the wounded part. When the vessel cannot be reached through the dilated wound, it should generally be cut down to, in the manner now to be directed. First, for the —COMMON CAROTID, I will mention the particulars of an inter- esting case:—In March, 1848, JMr. Jones, of Washington city, came to Cincinnati to put himself under the care of Prof. R. S. Newton for osteo-sarcoma of the lower jaw, which had already involved the soft parts with a considerable part of the neck. He had previously consulted other eminent practitioners and professors, without benefit or encouragement. During treat- ment for the medical cure, the facial, the internal maxillary, and