Resection of Arteries and Veins Injured in Continuity, End-To-End Suture

Resection of Arteries and Veins Injured in Continuity, End-To-End Suture
Author: J. B. Murphy
Publisher: Forgotten Books
Total Pages: 38
Release: 2017-11-16
Genre: Medical
ISBN: 9780260127419

Excerpt from Resection of Arteries and Veins Injured in Continuity, End-to-End Suture: Experimental and Clinical Research For the purpose of determining whether this were practicable, and whether a considerable portion of the artery could be resected, I have performed the following experiments: experiment No. 1. - March 4, 1896; male dog, weight forty pounds. An oblique incision dividing one-third of the circumference of the left common carotid was made and closed with a continuous silk suture penetrating all the coats of the artery; only a small portion of the artery was denuded. There was some hemorrhage from needle punctures after the clamps were removed, which subsided rapidly under digital pressure; the wound was closed. The dog showed no unpleasant symptoms after the operation. There was a slight swelling on the left side, which lasted about a week. Post-mortem, March 25th, twenty - one days after operation: There was some new-formed connective tissue at the seat of operation. The sutures were not infected; the calibre of the vessel was only slightly diminished. The silk was covered and could be seen under a thin layer of exudate from the inner side of the vessel. There was no thrombus. The intima had been fractured by one of the clamps, at which point it was rough and some what thickened. Experiment No. Z. - March 4, 1896; dog, weight fifty pounds. The right common carotid was exposed and opened by a longitudinal incision of one-third of an inch. The opening was closed by interrupted sutures involving all the coats. There was some hemorrhage after the clamps were removed, which ceased after a digital pressure of two minutes' duration. The external wound was closed with silkworm gut. Post-mortem was made March 25th, twenty-one days after operation. There was considerable exudate around the position of sutures, but the sutures were not infected. The wall of the vessel was thickened on the side of the suture. The calibre of the vessel was diminished one-third; the suture was not exposed in the vessel it was covered with a deposit. There was no thrombus. There was some roughening of the intima at the position where the clamps had been placed. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.

Vascular Reconstructions

Vascular Reconstructions
Author: Jamal J. Hoballah
Publisher: Springer Science & Business Media
Total Pages: 400
Release: 2006-06-02
Genre: Medical
ISBN: 0387215689

This must-have manual for surgical residents and vascular surgery trainees is copiously illustrated with more than 250 original line drawings. The author presents in a step-by-step fashion the techniques for all common vascular reconstructions, basics of exposure and access, as well as invaluable technical pearls and tips. The text provides the surgical trainee with the opportunity to review and practice the necessary vascular reconstructions before entering the operating room. The illustrations and clear instructions make this a manual that is referred to again and again throughout the surgical residency.

A History of Surgery

A History of Surgery
Author: Harold Ellis
Publisher: Cambridge University Press
Total Pages: 292
Release: 2002
Genre: Medical
ISBN: 9781841101811

A history of key advances in surgery including primitive techniques. Includes a facsinating glimpse into the future of surgery.

Rich’s Vascular Trauma E-Book

Rich’s Vascular Trauma E-Book
Author: Todd E. Rasmussen
Publisher: Elsevier Health Sciences
Total Pages: 435
Release: 2021-08-12
Genre: Medical
ISBN: 0323697674

For more than 40 years, Rich's Vascular Trauma has been surgeons’ #1 reference for the diagnosis and treatment of vascular injury in both civilian and military settings across the globe. Published in association with the Society for Vascular Surgery (SVS), the fully updated 4th Edition reflects recent changes in vascular injury patterns, wounds, and trauma care, drawing from current research and a wide variety of peer-reviewed publications to keep you up to date with the latest evidence-based management strategies and techniques. Written and edited by vascular surgeons who are also trauma specialists—civilian and military experts who have proficiency in both open-surgical and endovascular techniques—this must-have reference offers a global perspective on every aspect of the broad spectrum of vascular trauma. Covers all vascular surgery procedures required to stop hemorrhage and restore perfusion in vessels in the limbs, junctional areas, torso and neck, including damage control techniques such as shunting, and endovascular techniques such as REBOA and stenting. Addresses pre-hospital, emergency department, surgical, and endovascular stages of treatment in developed, austere and deployed settings, including a rich section on vascular trauma in multiple international settings that provides important context for the global surgical community. Includes nine new chapters covering prehospital management, endovascular suites, stent-grafts, selective aortic arch perfusion, extracorporeal systems and gathering evidence in vascular trauma, and more. Presents surgical techniques in step-by-step, highly illustrated detail, as well as high level, strategic decision-making such as the logistics of setting up an endovascular trauma service. Includes a new, rapidly digestible "Tips and Tricks" section summarizing how to execute essential vascular maneuvers and management steps to ensure that patients get the best outcomes. Emphasizes the current management of civilian vascular injuries while drawing upon the best available evidence, experience, and lessons learned from Afghanistan, Iraq, and the “urban battlefield. Contains an innovative chapter on the systems approach and quality improvement in vascular trauma, offering information and tactics for all providers wishing to understand how clinical systems underpin patient outcome and recovery.