With the development of aseptic surgery arose the necessity in hemostasis, not only of a certain method of occluding the vessels, but of doing it with an agent which would not add a complication to the case either immediately or remotely. No method of hemostasis generally used fulfills this definition. The use of the actual cautery leaves carbonized tissue, a slough and the danger of subsequent hemorrhage. The objections to silk ligatures, especially the size required for large blood vessels and pedicles in the pelvis, are only too well known. The introduction of sterile absorbable ligatures bid fair to solve the problem; yet we have lately the angiotribe, which is also uncertain, for Doyen and those following him use it now simply to compress a groove in which the animal ligature is applied without danger of its slipping. The angiotribe alone, without the addition of the ligature, is slow and
DOWNES AJ. ELECTRO-THERMIC HEMOSTASIS IN ABDOMINAL AND PELVIC SURGERY.. JAMA. 1901;XXXVII(7):419–424. doi:10.1001/jama.1901.62470330001001
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