Arterial ligation for irremovable cancer of pelvic organs : technic adapted and amplified / by William Seaman Bainbridge.

  • Bainbridge, William Seaman, 1870-1947.
Date:
[1911]
Catalogue details

Licence: In copyright

Credit: Arterial ligation for irremovable cancer of pelvic organs : technic adapted and amplified / by William Seaman Bainbridge. Source: Wellcome Collection.

Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.

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    sive discharges. The author’s experience does not lead to the same conclusion. Ligation of the uterine arteries alone is not always sufficient to control hemorrhage, nor is it so effective in the retardation of the malignant growth as is ligation of the anterior trunk or of the internal iliac itself. Nor is ligation of the utero-ovarian arteries sufficient in all cases, a fair blood supply to the parts being maintained through the anastomosis of other branches of the internal iliac, or possibly through the estab- lishment of a recurrent circulation. In the au- thor’s early experience* the ovarian and uterine arteries were ligated; or, if the uterine could not be reached, its nearest branches were tied off, or the anterior division of the internal iliac was ligated on the side of the most extensive involv- ment, the uterine and ovarian of the opposite side being ligated at the same time. Ligation of the internal iliac artery of each side close to the bifurcation of the common iliac, thus shutting off all the branches of the posterior and anterior trunks of the internal iliac arteries, eliminates the chief blood supply of the uterus, vagina and pelvic fasciae. If they are accessible without cutting into cancerous tissue, and if it is deemed necessary or advisable, the obturator, superior vesical, or other branches of the internal iliac, may be ligated individually, as practised by a Dumber of surgeons, in addition to the main ligature of the internal iliac. If, in addition to the internal iliacs, the ova- rians and the sacra media, if it is large enough to warrant it, are ligated, the blood supply is sufficiently lessened to control immediate and usually all subsequent hemorrhage of any sever- ity, and to offer a reasonable hope of cheeking the growth of the neoplasm. From the above it may be fairly assumed that * Bainbridge,—“Irremovable Cancer,” N. Y. Medical Journal, October 3, 1908.