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首页> 外文期刊>gefasschirurgie >Control of hemorrhaging from the femoral vein in the nineteenth century
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Control of hemorrhaging from the femoral vein in the nineteenth century

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摘要

That physicians had to deal relatively often with injuries to large veins and arteries was an inherent challenge, especially stab and bullet wounds in the inguinal region. Ligature of the femoral vein had fatal consequences in the nineteenth century. In the famous case presented by Roux in 1813 in Paris, ligature led to gangrene with ensuing death. Based on this observation, the momentous conclusion was drawn that isolated ligature of the femoral vein was not compatible with life and that uncontrollable bleeding from the vein necessitated immediate hip disarticulation. In 1831 in Lyon, Gensoul was one of the first to suggest that hemostasis could be accomplished by ligature of the femoral artery. Bernhard von Langenbeck at the Charite in Berlin came to hold the same opinion in 1860, evidently without knowledge of the previous publications. His famous case report was cited frequently in the literature of the nineteenth century as was also the experimental research carried out by Wilhelm Braune in Leipzig in 1873. The dramatic situation that arose during an operation with fatal outcome performed in the Volkmann Clinic in Halle as described by Paul Kraske in 1880 will be addressed in detail. It was not until 1882 that Heinrich Braun, at that time an assistant professor for surgery in Heidelberg, expressed doubts regarding the general doctrine of arterial ligature to arrest severe hemorrhaging from the femoral vein. He presented his views on 31 May 1882 at the Congress of the German Association of Surgery.

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