with these, they readily empty themselves of their accumulated
contents, and soon regain their calibre under the employment of
bandaging. When the varicose veins are numerous, as is generally the
case, the potass is to be applied to the healthy point of the larger
trunk in which they terminate. But the practice is not unattended with
danger, for the coats of the vessel may ulcerate in consequence of the
application, and violent hemorrhage ensue; the degree of inflammation
excited may be greater than that intended, and extend so as to give
rise to suppuration in the vessel and the most alarming constitutional
disturbance. These unfavourable results, however, must be of rare
occurrence. Success has, however, followed the practice in innumerable
instances.
A much preferable method, as being less painful and unattended with
risk, is that of passing needles under the vessel, and twisting a piece
of thick and strong silk round them. Two needles should be applied
together, at an interval of about half an inch, at whatever points it
is thought right to close the vein. Coagulation takes place in the
included part, and also frequently for some distance below it; the
coats of the vessel are thickened, and its canal closed. The needles
are withdrawn before they begin to cut their way out by ulceration,—say
at the end of from three to five days,—according as the parts become
condensed. The needles suited to the purpose are soft, but tempered
at the point, which is spear-shaped; the ends are cut off with pliers
after the thread is fixed. Other operations have been performed on the
veins, to procure a radical cure of varix; one or more ligatures have
been passed round the vessel, as in the operation for aneurism; and the
vessel has been divided, or a portion of it dissected out, and its cut
extremities afterwards either compressed or secured. Such proceedings
are now almost entirely abandoned.
OF TUMOURS.
Public-domain text, read in full here on John Shaqi.
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