Excerpt from Library of Universal Knowledge, Vol. 9 of 15: A Reprint of the Last (1880) Edinburgh and London Edition of Chambers's Encyclopædia; With Copious Additions by American Editors
The principles involved in the application of ligatures to wounded arteries may be briefl stated in two axioms: 1. Cut directly down on the wounded part. And tie the vesse there; 2. Apply the ligature to both ends of the wounded vessel if it be divided, or. If it be only punctured, to both distal and proximal sides of the puncture; or, in other words, in either case tie the artery in two places. The principles are: if we wish to get at both ends of the vessel conveniently, we should cut directly down to the point of injury; we lie b0th ends of the divided vessel, or on both sides of the wound in it, because if the proximal side (that towards the heart) alone is tied, vascular connections which may exist between the distal portion of the artery and other vessels may cause recurrent hemorrhage. If it does not take place soon after the application in the form of arterial blood, venous blood Will be likely to make its appearance in the course of two or three days.
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