A Collection of Chirurgical TractsBeckett, William
Science
A Collection of Chirurgical Tracts
Beckett, William
Surgery
[Sidenote: Vide _Ætius Tetrab._ 4. Ser. 4. _Cap._ 44.] By the Account
we receive from Authors we cannot be positively assured, whether there
was any particular established Method in the first Ages of this Art,
for the Performance of this Operation: This we are only assured of
that there are some Circumstances which relate to it, that have been
taken Notice of; the most considerable of which is, that the actual
Cautery was to be applied immediately after the Abscision; this they
advised, not only to put a Stop to the Flux of Blood, but likewise
to correct the ill Quality of it: It is to be observed, that they
ordered always, upon such an Occasion, Defensatives to be applied
to the contiguous Parts, to prevent their being inflamed; but for
as much as they were sensible the actual Cautery would procure an
Eschar, they recommended the Use of Digestives to separate it; after
which, they proposed to heal it as [Sidenote: Vide _Arceus_, lib. 2.
Cap 3. de _Curand. Vulnerib._] a common Ulcer. The very next Advance
this Operation received, that we have met with, was by that Accurate
Writer _Franciscus Arceus_, who obliged the World with an exact and
methodical Account of the whole Method of Procedure in extirpating
a _Cancer_ in the Breast; though this Author would only venture on
those that were not Ulcerated, those that were he looked upon as
incurable. We do not find that this Method was recommended to the
World by any remarkable Histories of Cures effected by it; whether it
proceeded from the Unsuccessfulness of the Attempts, or its Disuse, we
cannot determine. _Fabritius Hildanus_ likewise made a considerable
Step towards the Encouraging the Performing this Operation; and he
assures us, he has more than once done it with Success; he did not
only influence his Cotemporaries to revive an Operation, that was,
perhaps, almost grown out of Date, by the Histories of some Cases he
recites; but obliged them with the Figure of a Pair of Forceps, which
in this Operation are very convenient to engage the Breast, and thereby
prevent the Pain the Patients are sometimes put to, by piercing the
Breast with Needles armed with Silk to suspend it. There are several
Ways of performing the Operation, mentioned by later Practitioners,
but at this Time there are few that are willing to be concerned in
it. A very considerable Author speaking of extirpating a _Cancerous
Breast_, advises us to take care we do not cut the Pectoral Muscle in
the Operation: But we have seen a very remarkable Case of this Nature,
where a Part of that Muscle was cut away, and the Cartilages of the
two of the Ribs laid bare, and the Patient happened to be cured.
Now if our Predecessors had so great a Respect to the avoiding the
wounding of this Part, as to make their Incisions too superficial,
their Operations must be in all Probability unsuccessful; for we are
very well assured by Experience, that their actual Cauteries will have
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