A system of practical surgery / by William Fergusson.

  • William Fergusson
Date:
1852
Catalogue details

Licence: Public Domain Mark

Credit: A system of practical surgery / by William Fergusson. Source: Wellcome Collection.

    65/878 (page 41)
    scalpel °r VGm ’ and the tandle sbould resemble that of a common When a ligature is applied to an artery, the nearer it is placed to tLThllb°Urmg teftures' s° “ucb the better; great care should be en, however, that none of these are included, particularly the veins d ^TeS; and\ln °Perations for aneurism, the less an artery is f d in, Passing the needle and thread under it, so much the dosure!V°Urab 6 °pp0rtumty is suPP°sed to be given to its permanent In some rare and troublesome cases of bleeding, when the vessel or vessels cannot be seized with the forceps, it is necessary in order to arrest the flow of blood, to pass a needle and thread ft rough th° textures on each side, so as to include some of the surrounding parts ZvitnZt iC“Ti ST-Cal ”eedleS’ such as are here represented (fig. 46), may be used for this purpose, or one of this sort (fig. 47) J? mIL^ndle like that of the aneurism needle, as represented in fig’ 45. If the parts be deep-seated and difficult to reach, the latter form Fig. 46. will be most convenient, more particularly if some considerable force is required to push the needle through the textures. In passing threads rough small tumours, too, such as naivi and hemorrhoids, this kind °* “6nt Wld be f°und exceedingly convenient. When these latter means are resorted to, a little more than the bleeding vessel must necessarily be included in the ligature; and though, m general, this circumstance is of no great moment, the rule in surgery ought never to be forgotten, of including the bleeding vessels only, when such a proceeding is practicable. 8 e end of each thread should be cut with scissors, as when a knife is used for the purpose, however sharp its edge may be, it will drag tuall!!16 Part?’ ^ !b.eSldes therebJ causing additional pain, may acg ually separate the ligature. The common dissecting scissors (p. 6) will answer; but there may be danger in some cases from the sharp SSnVtl™ tUCe if ^u exhibited (% 48X which, for the sake of Thp r wi tJ6 SUrglCaI scissors’ had better be employed. Sh°fd b? bGtWeen four and five inches, and the curve near the hinge will be found of advantage on many occasions : indeed,