A Treatise on the Anatomy, Pathology and Surgical Treatment of Aneurism, with Engravings

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Mundell, Doig, & Stevenson, 1808 - Aneurysms - 503 pages
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Page 279 - though not quite an inch in length, and a third of an inch in breadth, exhibits on a dark and variegated ground, a bird resembling a duck in very bright and varied colours, rather in the manner of a chinese painting than a copy of nature. The outlines are bold and decided, the colours beautiful and pure, and the effect very pleasing, in consequence of the artist having...
Page 471 - The whole limb was cedematous, but in no very considerable degree. She was quite incapable of using the least exercise, or of sitting upright ; and, even in bed, she suffered continual pain, which was much aggravated during the pulsation of the aneurism. The pain was so violent as to preclude sleep. She had no appetite ; her pulse was feeble and frequent, generally exceeding 100 ; but her tongue was not furred ; and her bowels were regular. On Saturday, llth October, the operation was performed in...
Page 188 - ... is derived is, by the assistance of Nature, or of Nature combined with art, obliterated and converted into a perfectly solid ligamentous substance for a certain space above and below the place of ulcération, laceration, or wound.
Page xxii - Transactions of a Society for the Improvement of Medical and Chirurgical Knowledge.
Page 471 - Abernethy made an incision three inches in length through the integuments of the abdomen in the direction of the artery beginning just above Poupart's ligament.
Page 113 - That the aneurismal sac is never formed by a dilatation of the proper coats of the artery, but undoubtedly by the cellular sheath which the artery receives in common with the parts contiguous to it; over which cellular sheath the pleura is placed in the thorax, and the peritoneum in the abdomen.
Page 241 - In both these aneurisms, the femoral and the poplitean, it most frequently happens, that the artery is not only dilated and burst, but it is also distempered some way above the dilatation, particularly in the poplitean. This may very probably be one reason why the ligature is in general so unsuccessful. The want of collateral branches of sufficient size to carry on the circulation, is another very powerful impediment. Whether these may be allowed sufficient to frustrate the attempt by the operation,...
Page 20 - ... and that the superficial veins of the abdomen, as well as the lumbar, and those of the internal cavity of the abdomen, were in a similar manner very much dilated ; the internal mammary vein likewise greatly enlarged, and also the epigastric, with which it anastomosed, opened, as usual, into the...
Page 471 - I then divided their lower edges upwards, in the direction of the external wound, to the extent of an inch and a half, with a probe-pointed bistoury. Having thus made room for the admission of my finger, I put it down upon the artery, felt its pulsations, and gently insinuated it beneath the vessel ; and then, with the aneurismal needle, passed under it two thick ligatures, carrying them upwards and downwards, as far as the detachment of the artery permitted, and tying them as firmly as I could....
Page 74 - ... ruptured, converts it into a sac, which is filled with polypous concretions, and with fluid blood, and at last forms, properly speaking, the aneurismal sac; the internal texture of which, although apparently composed of membranes placed one over the other, is, in fact, very different from that of the proper coats of the artery, notwithstanding the injured artery, both in the thorax and in the abdomen, as well as the aneurismal sac, is covered externally, and enclosed within a common smooth membrane.

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