Left subclavio-axillary traumatic aneurysm : ligation of subclavian artery in the second part of its course : recovery, with perfect use of arm / by Henry Gray Croly.

  • Croly, Henry Gray.
Date:
1899
Catalogue details

Licence: Public Domain Mark

Credit: Left subclavio-axillary traumatic aneurysm : ligation of subclavian artery in the second part of its course : recovery, with perfect use of arm / by Henry Gray Croly. 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.

    19/24 (page 13)
    to form a curve, first forwards and outwards, then down- wards and inwards, striding over the subclavian artery to reach the angle of union between the subclavian and inter- nal jugular vein. The thoracic duct (of Eustacliio) and the internal jugular vein cannot be endangered with ordinary care in ligation of the subclavian in the second part of its course. The scapular anastomosis (which is very perfect) may be likened to the links of a chain, and includes the union of the scapula with the humerus, the humerus with the forearm, and the forearm with the hand. In conclusion, I beg to return my best thanks to my friends Professors Fraser and Cunningham, and Dr. G. Jameson Johnston, Demonstrator of Anatomy in Trinity College, and now my surgical colleague, for the opportunities afforded me in the dissecting rooms, and my best thanks are also due to Dr. Paul Carton, my former resident pupil, for the beautiful drawings of dissections which I made of the subclavian arteries. Mv warmest thanks are also given to Dr. Morton Hewitt, House Surgeon ; the Surgical Resident Pupils, Mr. Will iam Chapman Croly and Mr. Scribner; Miss Beresford (Lady Superintendent), and Nurses Skelton and Mutton, for the untiring care and kindness shown to the patient, who is in attendance to be examined by the members after the meeting. He is in perfect health, and his left arm is strong, muscular, and useful as before the infliction of the wounds; Ballance and Edmunds in their work on “ Ligation of the Great Arteries in Continuity” (page 262) say, when showing sections of kangaroo tendon ligatures undergoing absorption 1o Sir Joseph (now Lord) Lister, he remarked that the best material for an absorbable ligature was white fibrous tissue, of which the outer coat of an artery consists, and that the purest white fibrous tissue in the body was the peritoneum;