A History of Science — Volume 4Williams, Henry Smith
History
A History of Science — Volume 4
Williams, Henry Smith
Science -- History
In pondering over what he had learned about collateral circulation and
the time required for it to become fully established, Hunter conceived
the idea that if the blood-supply was cut off from above the aneurism,
thus temporarily preventing the ceaseless pulsations from the heart,
this blood would coagulate and form a clot before the collateral
circulation could become established or could affect it. The patient
upon whom he performed his now celebrated operation was afflicted with
a popliteal aneurism--that is, the aneurism was located on the large
popliteal artery just behind the knee-joint. Hunter, therefore, tied off
the femoral, or main supplying artery in the thigh, a little distance
above the aneurism. The operation was entirely successful, and in six
weeks' time the patient was able to leave the hospital, and with two
sound limbs. Naturally the simplicity and success of this operation
aroused the attention of Europe, and, alone, would have made the name of
Hunter immortal in the annals of surgery. The operation has ever since
been called the "Hunterian" operation for aneurism, but there is reason
to believe that Dominique Anel (born about 1679) performed a somewhat
similar operation several years earlier. It is probable, however, that
Hunter had never heard of this work of Anel, and that his operation
was the outcome of his own independent reasoning from the facts he had
learned about collateral circulation. Furthermore, Hunter's mode of
operation was a much better one than Anel's, and, while Anel's must
claim priority, the credit of making it widely known will always be
Hunter's.
The great services of Hunter were recognized both at home and abroad,
and honors and positions of honor and responsibility were given him. In
1776 he was appointed surgeon-extraordinary to the king; in 1783 he
was elected a member of the Royal Society of Medicine and of the Royal
Academy of Surgery at Paris; in 1786 he became deputy surgeon-general
of the army; and in 1790 he was appointed surgeon-general and
inspector-general of hospitals. All these positions he filled with
credit, and he was actively engaged in his tireless pursuit of knowledge
and in discharging his many duties when in October, 1793, he was
stricken while addressing some colleagues, and fell dead in the arms of
a fellow-physician.
LAZZARO SPALLANZANI
Public-domain text, read in full here on John Shaqi.
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