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Clinical Lectures on Subjects Connected With Medicine, Surgery, and Obstetrics, V. 1 1876 (v. 1)
Clinical Lectures on Subjects Connected With Medicine Surgery and Obstetrics V 1 1876 - v. 1 Author:Richard von Volkmann Volume: v. 1 General Books publication date: 2009 Original publication date: 1876 Original Publisher: The New Sydenham Society Notes: This is a black and white OCR reprint of the original. It has no illustrations and there may be typos or missing text. When you buy the General Books edition of this book you get free trial access to Million-... more »Books.com where you can select from more than a million books for free. Excerpt: ON THE ARTIFICIAL EMPTYING OF BLOOD-VESSELS IN OPERATIONS, PROFESSOR F. ESMARCH. Gentlemen, -- You all witnessed yesterday a difficult and tedious operation, in which the patient lost a very large quantity of blood, in spite of all the care that was taken to prevent it. The operation was one for the extirpation of a vascular, medullary - sarcomatous tumour, the size of a child's head, which occupied the whole of the upper part of the neck on the right side. It was found that the tumour had involved not only a part of the parotid gland, but also the neighbouring muscles, the sterno-cleido-mastoideus, the mylo-hyoideus, and the posterior belly of the digastricus, to such an extent that I found myself compelled to remove considerable portions of all these parts, so that, when the operation was completed, the internal jugular vein and carotid artery lay bare in the wound to a considerable length. What, more than all, rendered the operation difficult, was the profuse haemorrhage. You will remember that, with almost every incision, although I took care to make them as slight as possible, one or more arteries spirted, or veins poured out their dark blood over the field of the operation. You saw how I sought to check the haemorrhage as much as possible by taking up the bleeding vessels, after each incision, with bull-dog forceps, and left these hanging in the wound while I went on with the operation. More than once there were hanging in the wound all the twenty-four pairs of forceps which I always have at hand in great operations, and I was compell...« less