The Rapid Cure of Aneurism by Pressure

Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAPTER IV. On the Progress of the Rapid Method. It is impossible to leave the history of this case without remarking on the results which have followed, since the treatment therein introduced has heen adopted by other surgeons. Dr. Mapother's Cases. In the hands of Dr. Mapother, of Dublin, two cases have...
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Purchase of this book includes free trial access to www.million-books.com where you can read more than a million books for free. This is an OCR edition with typos. Excerpt from book: CHAPTER IV. On the Progress of the Rapid Method. It is impossible to leave the history of this case without remarking on the results which have followed, since the treatment therein introduced has heen adopted by other surgeons. Dr. Mapother's Cases. In the hands of Dr. Mapother, of Dublin, two cases have been cured, Dr. Mapother having strictly followed the plan I pursued, and having tried with it the suggestion made by Dr. O'Ferrall, of applying pressure on the distal as well as on the cardiac side of the aneurism. His first case was pressed without chloroform at first, and afterwards under chloroform, and at the last effort under chloroform the aneurism was cured in four and a half hours. Dr. Mapother's second case was scarcely so successful, the pressure having lasted ninety-seven hours before coagulation occurred. Dr. Mapother holds the same views as I have repeatedly expressed, and concludes thatthe blood should be detained in the sac as completely as possible, by compression on the artery above and below it. Holding that the cure is effected by coagulation of the blood en masse and not by laminated fibrin, Dr. Mapother also dwells on the desirability of giving chloroform, and on applying pressure both above and below the sac. Dr. Heath's Cases. Dr. Heath, of Newcastle, has also been successful in curing at least two cases by the same method. The first of his cases was a striking and brilliant example of the treatment; for the aneurism was distinctly consolidated in the short space of twenty minutes. I am glad to know that Dr. Heath holds strongly to the idea that complete pressure under chloroform leads to rapid cure by coagulation. The following is an extract from his address on Surgery, delivered at the annual meeting of the British Medical Associat...