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- Inaugural Essay, on the Treatment of Wounds of the Femoral Vein
Inaugural Essay, on the Treatment of Wounds of the Femoral Vein
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Excerpt from Inaugural Essay, on the Treatment of Wounds of the Femoral Vein: Submitted to the Examination of Samuel Bard, M.D. L. L. D. President, and the Trustees and Professors of the College of Physicians and Surgeons of the University of the State of New-York, And Publicly Defended for the Degree of Doctor of Medicine, on the
If we search the records of most systematic writers on surgery, it will be found that very little is said of wounds of the veins: however, it is not our object to inquire into the cause of this omission But, to show that the subject is worthy of particular examination, we quote the following: First, from Boyer, who observes, that "the hemorrhage from a large vein may become very dangerous when the vein is the only one belonging to the limb, for then the compression or ligature necessary to staunch the blood, hinders its return to the heart, and the member swells so prodigiously that gangrene may supervene. For example, if the femoral vein were opened at the groin, above its juncture with the saphena vein, there would result, from the compression necessary to stop the bleeding, a great tumefaction and its necessary consequences."
Secondly. S. Cooper, in his Surgical Dictionary, a work so justly and so highly esteemed, is silent on this point. We find in it, however, a reference to Dr. Hunter's second operation for popliteal aneurism, wherein he included in one ligature the femoral vein with the artery. His patient died.
Thirdly. In Cooper's and Travers's Surgical Essays, a work lately published, may be found several interesting cases perfectly in point, from which it is thought proper to select the following: 1st, John White, aged 28 years, was admitted into Guy's Hospital Nov. 22, 1816, for an aneurismal tumor in his left ham.
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