Should Both Ends of a Wounded Artery Be Tied?

1875 Boston Medical and Surgical Journal  
of Quiucy, reported a case of intussusception occurring at the ilco-ca;cal valve, and displayed the specimen. The patient was a young child. The onset of the illness was characterized by severe crying and paroxysmal vomiting, attended by a profuse discharge of loose, bloody dejecta; this was soon afterward followed by the appearance of a tumor in the left hypochondriac region, which extended to tho umbilical region. Vomiting was persistent throughout the entire illness, and eventually the
more » ... ventually the ejected matter became chylous, all nourishment being meanwhile declined. Death ensued in about fifty-six hours after the first symptoms were noticed. -•-An animated discussion has recently taken place in the Société de Chirurgie upon the question of tho necessity of tying both ends of a wounded artery. L'Union Médicale of August 31, 187f>, reports that M. Lanneloiigue gave an account of two cases that had been under the care of M. Cras. The first was a wound of the brachial artery caused by the explosion of a shell ; the second, that of the anterior tibial, due to a sharp instrument. In both these
doi:10.1056/nejm187510070931508 fatcat:o6rbxagxnzh6jje7cflpnf6dc4