Vascular Trauma

 

c1200
Roger of Salerno (1180-1209)
Wrote in his book 'Chirurgia' on the treatment of wounds to the jugular vein:
'If a wound made by a sword or similar weapon cuts the jugular vein, treat it as follows: Take up the whole vein with the needle, but so that it is not perforated; from the other side draw the needle with the attached thread, binding it with the thread and tightening so that no blood flows. Do this from above and below. Apply a wet cloth to the wound.'

1552
Amboise Paré
First successful treatment of cervical vascular injury.
Paré reportedly stopped the bleeding from a lacerated common carotid artery and internal jugular vein in the neck of a Francois Prevost, who had been injured in a duel. Although the patient survived he was left aphasic and hemiplegic.

1674
Morel

First reported use of tourniquet to control haemorrhage.


Chirurgia - Roger of Salerno - c1200

1803
D. Fleming
Successfully ligation of common carotid artery.

Fleming successfully ligated the common carotid artery of a sailor who had tried to commit suicide and lacerated branches of the external carotid..
Fleming D. 'Case of rupture of the carotid artery; the wounds of several of its branches, successfully treated by tying the common trunk of the carotid itself.' Med Chir 3:2;1817