File:Transactions of the Southern Surgical and Gynecological Association (1920) (14781293924).jpg

Identifier: transactionsofso3319sout (find matches)
Title: Transactions of the Southern Surgical and Gynecological Association
Year: 1920 (1920s)
Authors: Southern Surgical and Gynecological Association (U.S.)
Subjects: Surgery Gynecology Surgery Genital Diseases, Female
Publisher: (S.l.) : The Association
Contributing Library: Yale University, Cushing/Whitney Medical Library
Digitizing Sponsor: The College of Physicians of Philadelphia and the National Endowment for the Humanities

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while Dr. Strickland made pressure onthe artery with his fingers, I removed the six or eight inchstrip of narrow gauze packing which he had previously placedin the wound, and made a longitudinal incision downwardencircling the ragged wound of entrance. This was excisedand a small collection of blood wiped away. There wassome welling upward of venous blood from the depths of thewound while looking for the location of the injury. Workinggently and carrying the incision downward slowly the woundsin the artery and vein were found to be large, ragged andcommunicating. The ligatures above were immediatelydrawn as tightly as we could make them. It was too latenow to suture even though the wound had been a suitableone for this procedure. We had fractured the artery, andcrushed its intima. The common femoral artery and veinwere then clamped with forceps just above and below thewound and a formal excision of devitalized tissue includingthe ragged edges of the vessel wounds was made. The vessels
Text Appearing After Image:
Ligation of the external iliac artery and vein above and below acommunicating bullet wound of these two vessels. G. PAUL LA ROQUE 425 above and below the wound were ligated and the surroundingtissue snugly sutured. The wound was dried completely, oneor two small superficial veins were tied, a small piece of flatsoft rubber was laid in and, but for a small place of exit, theskin wound was closed, dressings applied and the entire limbencircled with cotton from the pelvis to the toes. Thepatient was placed in bed with hot water bottles beside thelimb and an electric light heat under a tent applied to theextremities. The patients pulse at the end of the operationwas 120 and mine was just about the same. I judge we wereboth in a condition of slight shock though I was not unmind-ful of the fact that the patient may have had a slight amountof dilatation of the heart. On this account and to facilitatewhatever benefit the posture might have on the blood of thelimb, we elevated the head of the

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