A History of Science — Volume 4Williams, Henry Smith
History
A History of Science — Volume 4
Williams, Henry Smith
Science -- History
Simply stated, every organ or muscle of the body is supplied by one
large artery, whose main trunk distributes the blood into its lesser
branches, and thence through the capillaries. Cutting off this main
artery, it would seem, should cut off entirely the blood-supply to the
particular organ which is supplied by this vessel; and until the time of
Hunter's demonstration this belief was held by most physiologists. But
nature has made a provision for this possible stoppage of blood-supply
from a single source, and has so arranged that some of the small
arterial branches coming from the main supply-trunk are connected with
other arterial branches coming from some other supply-trunk. Under
normal conditions the main arterial trunks supply their respective
organs, the little connecting arterioles playing an insignificant part.
But let the main supply-trunk be cut off or stopped for whatever reason,
and a remarkable thing takes place. The little connecting branches
begin at once to enlarge and draw blood from the neighboring uninjured
supply-trunk, This enlargement continues until at last a new route for
the circulation has been established, the organ no longer depending
on the now defunct original arterial trunk, but getting on as well as
before by this "collateral" circulation that has been established.
The thorough understanding of this collateral circulation is one of the
most important steps in surgery, for until it was discovered amputations
were thought necessary in such cases as those involving the artery
supplying a leg or arm, since it was supposed that, the artery being
stopped, death of the limb and the subsequent necessity for amputation
were sure to follow. Hunter solved this problem by a single operation
upon a deer, and his practicality as a surgeon led him soon after to
apply this knowledge to a certain class of surgical cases in a most
revolutionary and satisfactory manner.
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