Operative surgery . former operation. Veins may he closed (phle- borrhaphy), the same as arteries when wounded, by longitudinal or oblique incisions (Fig. 250). If a vein be nicked the opening is closed by ligature, as illus-trated (Fig. 250) and expressed in the text (page 215). The continuous suture is often em-ployed in sewing wounds in veins. Ligature of the middle meningeal artery is con-sidered in connection with injuries of the skull, as then it is often required(page 237). The Remarks.—The portion of artery resected ought not to exceed halfan inch in length, except at flexures of joint
Image details
Contributor:
The Reading Room / Alamy Stock PhotoImage ID:
2AJ1AP0File size:
7.2 MB (240.1 KB Compressed download)Releases:
Model - no | Property - noDo I need a release?Dimensions:
1283 x 1948 px | 21.7 x 33 cm | 8.6 x 13 inches | 150dpiMore information:
This image is a public domain image, which means either that copyright has expired in the image or the copyright holder has waived their copyright. Alamy charges you a fee for access to the high resolution copy of the image.
This image could have imperfections as it’s either historical or reportage.
Operative surgery . former operation. Veins may he closed (phle- borrhaphy), the same as arteries when wounded, by longitudinal or oblique incisions (Fig. 250). If a vein be nicked the opening is closed by ligature, as illus-trated (Fig. 250) and expressed in the text (page 215). The continuous suture is often em-ployed in sewing wounds in veins. Ligature of the middle meningeal artery is con-sidered in connection with injuries of the skull, as then it is often required(page 237). The Remarks.—The portion of artery resected ought not to exceed halfan inch in length, except at flexures of joints where greater relaxation canbe secured; traction loops, temporary ligatures, or forceps guarded by rub-I)er tubing, may be employed to control the circulation. The rat-toothforceps used in eye surgery; a fine cambric needle with elongated eye; finetwisted silk the size of the needle and not too firmly tied, are desiderataof importance in these measures. FtG. 249.—Arterior-rhaphy. Murphysmethod. Unioncompleted.. Fig. 250.—Phleborrhaphy, seen below. Ligaturingstitch, seen above. CHAPTER V.OPERATIONS ON VEINS, CAPILLARIES, ETC. Veins and capillaries often require vigorous treatment, not only for thepurpose of arresting hremorrhage, but also to remedy the troublesome anddistressing symptoms and the unsightly deformities that arise from unusualdevelopment incident to obstructed circulation and telangiectatic growth.Veins are ligatured principally to arrest hemorrhage and cure phlebectasy. The Ligature of Veins.—Veins, like arteries, may be ligatured in theircontinuity or at their divided extremities. Large venous branches, whendivided in the course of an operation, should be tied, otherwise they maygive rise to an objectionable amount of bleeding, which will hinder theoperator, interfere with the rapidity of union, and possibly require reopeningof the wound to arrest haemorrhage. If a large vein—as the internal jugular, the femoral, etc.—be nicked during an operation, a
