A practical treatise on injuries of the head / Edward Bewley.

  • Bewley, Edward
Date:
1831
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Licence: Public Domain Mark

Credit: A practical treatise on injuries of the head / Edward Bewley. Source: Wellcome Collection.

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

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    always so urgent, that the patient s sole chance of existence depends on their quick removal. Hence, were there pressure on the brain, either from a depressed portion of bone, from blood, or matter, and such pressure could not be removed without trephining the anterior inferior angle ot the parietal bone, what operator would be atraid of doing so ? Besides, the fear of the haemor- rhage has been very unfounded ; for the lodg- ment of the artery in a bony furrow or canal, which authors have pointed out as rend m m g the suppression of the haemorrhage more diffi^^^^lt; a mere visionary idea, as it is well known, that a little plug of lint, pushed into the orifice of a vessel, so situated, will always stop the bleeding with as much certainty and ease, as can possibly be imagined.* The safety of th« Practice is confirmed by Larreyif «I have also says he^ « applied the trepan over the track of the spheno- spinous artery, at the inferior ^terior angle of the parietal bone. The artery was divided but I stopped the bleeding almost immediately by appMng an iron probe red hot. These two Sodf of restraining the hemorrhage have been already alluded to in the chapter on Frac- tures of the Skull(96). 185. We are told that the trephine should never be applied below the transverse ridge ot the occTpitalbonct Though seldom necessary, we may be called on to perform the operation even here and we ought not, in urgent circumstan- ces, to be afraid of dividing the trapezius and complexus muscles, in order to be enabled to ap- ply the trephine to the bone.^ * Cooper's Surg. Diet. p. 1112. 6tli edit. + Mem. de Chir. Mil. torn. 2. p. ] Bertrandi, Tpaitd des OP^J';-;/J.^^, ,„u,^e of the § See Mr. Hutchinson's case in the secona Medico-Chirurgical Transactions, p. lu*.