A dissertation on the inutility of the amputation of limbsBilguer, Johann Ulrich
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A dissertation on the inutility of the amputation of limbs
Bilguer, Johann Ulrich
Amputation -- Early works to 1800
I have however sufficiently expatiated on this point, which ought to
be considered before the others, as being more general. I now proceed
to examine the accidents that induce surgeons to amputate in order
to prevent a mortification. There are some who have carried their
precipitation, in this respect, to such a length, as to cut off limbs
upon the spot, that have been considerably bruised, before they tried
any other remedy: A piece of cruelty I cannot in any shape approve
of[20].
FOOTNOTES:
[16] Mr. Sharp, to the best of my recollection, was the first who
solidly proved the impropriety of operating on the sound part, while
the mortification continued to gain ground. This excellent doctrine not
being as yet universally acknowledged, it is very much to be wished,
that the additional authority of so judicious a surgeon as Mr. Bilguer,
may contribute to give it fresh weight, in order to render it general.
TISSOT.
[17] I shall transcribe Mr. Bilguer's own words. _Quo quidem loco
non possumus, quin observemus, signum illud corruptionis quod a
deffectu sensûs desumi solet, per illustris Halleri experimentis,
quodam modo incertum redditum esse, quibus quippe evictam periosteorum
insensibilitatem esse multi clarioque viri putant. Nostra de his rebus
experimenta fere cum Halleri doctrina congruunt, nisi Pericraneum
numquam non sensibilissimum deprehendimus_.
[18] See, on this subject, the memoir of M. Haller, on the sensible and
irritable parts, T. 1. 4.
[19] Sammlungen, &c. a performance which ought to be generally read.
[20] This practice has also been condemned by others. See the
collection of pieces which put in for the prize conferred by the royal
academy of surgery. T. 3. p. 490. It is there observed that every
amputation performed immediately after the hurt, is generally dangerous
in its consequences.
I know that a soldier, who had his arm cut off in the field of battle,
after the affair of Prague, died the third or fourth day after the
operation.
SECT. XX.
Public-domain text, read in full here on John Shaqi.
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