On Gunshot Injuries to the Blood-Vessels

On Gunshot Injuries to the Blood-Vessels

Founded on Experience Gained in France During the Great War, 1914–1918

1st Edition - January 1, 1919

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  • Author: George Henry Makins
  • eBook ISBN: 9781483194349

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On Gunshot Injuries to the Blood-Vessels covers papers written about gunshot injuries to the blood-vessels. The book discusses the distribution and anatomical characters of gunshot injuries to the blood vessels; symptoms and signs of gunshot wounds of the blood-vessels; and the treatment of hemorrhage. The text then describes arterial hematoma and traumatic false aneurysm and the immediate and remote effects of occlusion of the main blood vessels on the vitality of parts supplied. The general lines of operative treatment applicable to gunshot injuries to the blood vessels; the great vessels of the trunk; and the vessels of the neck and the upper and lower extremity are also considered. Surgeons will find the book invaluable.

Table of Contents

  • Chapter I. Introduction

    Knowledge Acquired During Present War

    Experience of Recent Campaigns

    Mode of Collection of Observations Dealt With

    Chapter II. Distribution, and Anatomical Characters of Gunshot Wounds of the Blood-Vessels

    Frequency With which the Individual Vessels are Implicated: Determining Factors

    Contusion of the Vessels: Thrombosis Secondary to Contusion

    Varieties of Wound Met With

    Wounds of the Veins

    Mode of Repair

    Chapter III. Symptoms and Signs of Gunshot Injuries to the Blood-Vessels, and the Treatment of Hemorrhage

    General Symptoms

    Local Signs of Hemorrhage

    Local Treatment of Primary Hemorrhage

    Recurrent and Secondary Hemorrhage

    Replacement of Blood.

    Signs of Interference with the Distal Circulation

    Effects of Wounds of the Vessels on the General Circulation:

    Cardiac Disturbance

    Cardiac Murmurs

    Local Vascular Murmurs

    Transmission of Local Murmurs to Heart

    Signs of Disturbance of the Nervous Functions

    Chapter IV. Arterial and Arterio-venous Hematomata, and Traumatic Aneurysms

    Mode of Development of Traumatic Aneurysms

    Characters of Sacs

    Effects On, and Changes In, Surrounding Tissues

    Tardy Development of Aneurysms

    Signs and Symptoms.

    Progress and Complications

    Secondary Hemorrhage and Extension

    Infection and Inflammation

    Septic aneurysms.

    Arterio-Venous Aneurysms:




    Aneurysmal Varix

    Treatment of Traumatic Aneurysms:



    Aneurysmal Varices

    Chapter V. The Immediate and Remote Effects of Occlusion of the Main Blood-Vessels on the Vitality of the Parts Supplied by Them

    Direct Effects of Anemia

    Association with Injury to the Nerves

    Grades of Signs of Malnutrition


    Chapter VI. General Lines of Operative Treatment

    Provisional Restraint of Hemorrhage:


    Types of Exploratory Incision

    Should Simultaneous Ligature of Artery and Vein be Adopted


    Temporary Re-Establishment of the Circulation

    Chapter VII. The Great Vessels of the Trunk

    Vessels of the Chest:

    Aorta-Innominate Vessels

    Vessels of the Abdomen:

    Intra- and Retro-Peritoneal Injuries

    Abdominal Aorta

    Iliac Vessels

    Prognosis and Treatment

    Wounds of the Great Veins

    Chapter VIII. Vessels of the Neck

    Carotid Arteries:



    Secondary Hemorrhage

    Contemporaneous Injury to Nerves

    Cerebral Complications

    Formation of Traumatic Aneurysms

    Treatment of Injuries to the Carotid Arteries

    Mode of Operation


    Subclavian Artery:

    Nature of Lesions

    Contemporaneous Nerve Injuries

    Prognosis and Treatment

    Vertebral Artery

    Chapter IX. Vessels of the Upper Extremity

    Axillary Artery:

    Character of Injuries

    Signs of Injury to the Axillary Vessels

    Prognosis and Treatment

    Methods of Treatment Adopted

    Mode of Operation

    Brachial Artery:

    Character of Injuries

    Prognosis and Treatment

    Vessels of the Forearm

    Chapter X. Vessels of the Lower Extremity

    Femoral Artery:


    Contusion and Thrombosis

    Wounds of Femoral Vessels

    Signs of Wounds of Femoral Vessels

    Hematomata in Connection with Wounds of Branches of Trunks



    Prognosis and Treatment


    Arterial Hematomata and Aneurysms

    Arterio-Venous Aneurysms

    Aneurysmal Varices:




    Tuffier's Tube

    General Lines of Treatment

    Remarks on Operative Procedure

    Femoral Veins

    Popliteal Artery:

    Characters of Injuries

    Contusion and Thrombosis



    Clinical Characteristics

    Arterial Hematomata

    Arterio-Venous Aneurysms

    Occurrence of Gangrene

    Prognosis and Treatment


    Tuffier's Tube


    Operative Procedure

    Arteries of the Leg:


    Signs of Wounds of the Tibial Vessels

    Prognosis and Treatment

Product details

  • No. of pages: 264
  • Language: English
  • Copyright: © Butterworth-Heinemann 1919
  • Published: January 1, 1919
  • Imprint: Butterworth-Heinemann
  • eBook ISBN: 9781483194349

About the Author

George Henry Makins

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