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tions. Celsus (30 B. C.-45 A. D.), whose Encyclopccdia gives a complete account of the medical system of his time, filled the wounds with lint over which he laid a sponge di])ped in cold water. If the haemor- rhage continued, he repeatedly applied fresh lint wet with vinegar. This failing to celexa discount card check discount celexa the buy celexa 40 mg bleeding, he applied two ligatures to the bleeding vessel and' divided it between them. When he could not ligate in these cases he advocated the use of the actual cautery. During the Dark Ages, the ligature fell into dis- use, " giving way to such barbarous and inefficient methods of arresting haemorrhage celexa price comparison as the employ- ment of the actual cautery, the performing of opera- tions with red hot knives, or the application of boil- ing pitch, or of order celexa online molten lead to the bleeding and freshly cut surfaces." Aetius (500-550 A. D. ), whose medical works were translated into Latin in 1542, ligated for aneu- rysm, excising the sac, althovigh he used a red hot iron to stop bleeding in excision of the breast. order celexa no prescription The Hindu surgeons of the eighth century checked haemorrhage by means of torsion, astrin- gents, spices, caustics, and the actual cautery. Stumps, following amputations, were first dressed with celexa prices us boiling oil, afterw-ard with pitch, vegetable decoctions, etc. Ambroise Pare (1517-1590 A. D. ) revived the use of the ligature in amputations, giving credit to the ancients for its origin. He thought its utility so great in amputations that " he considered himself as inspired by the Deity in having first adopted thi.- practice." \'esalius (1514-1564 A. D.), however, condemned the ligature as a relic of the past. Kirkland (1721-1798 A. D.), in describing his experiments made in 1755 to determine the method order celexa without rx Nature takes to close the ends of a severed vessel, asserted that " nothing can more powerfully inter- cept the course of blood (than a ligature), provided order celexa online no prescription it be properly applied." He advised the use of liga- tures " made of long twelve penny flax without either end being the least twisted or waxed further than just the end, to make celexa cost without insurance it pass through the eye of the needle." He celexa manufacturer discount program also stated that " it is buy celexa not un- common for surgeons in performing operations to ajjply lint soaked in scalding nil nf lurpentine " to check haemorrhage. Sharpe, a surgeon of Guy's Hospital, London, in celexa generic cost 1 761 made a formal appeal for the employment of the ligature to arrest hremorrhage from wounded arteries, in preference to styptics or the actual cau- tery. His excuse for his formal advocacy of the ligature was that " it order celexa line is not as yet universally prac- ticed among surgeons residing in the more distant counties of our kingdom." Great strides forward buy cheap celexa were made in the order celexa canada methods of arresting haemorrhage after the |Miblication of the researches of order celexa Petit, Jones. Kirkland. and others. September 14, ]!hi7.3 WHITING: WEAL LIGATURES. 481 who set forth the manner in which the hgatures aided Nature in aftectint^ obhteration of the tied vessel. Secondary haemorrhage was, thereafter, less frequently seen. Suppuration, however, was con- sidered necessary to facilitate the removal of the ligature, for which purpose, also, both ends of the ligature were brought out of the wound. What was considered a great improvement was suggested by ■' James \'eitch. Esq.. at one time Surgeon to the Naval Hospital. Plymouth." who cut one end of the ligature close to the knot, bringing the other end out of the wound. This method was also strongly advocated by Samuel Cooper in 1816 and by Sir Astley Cooper in 1831. " Both ends of the ligature were cut oft close to the knot by some surgeons. This method was pro- posed bv Mr. Lancelot generic celexa vs celexa Haise (Haire ?). assistant buy celexa canada surgeon to the Haslar Hospital in 1786. The meth- od \vr.s adopted bv Mr. Maxwell, of Dumfries, in Samuel D. dross, in 1872. in speaking of this the ox ; Hartshorn, strips of parchment ; Clover, a very fine copper wire covered with gutta percha. Tendons from various animals have been proposed as ligatures, among them being those from the hind

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