cut down upon the main trunk of the artery which supplies the lower
extremity; and applied a ligature around it, where it is seated near the
middle of the thigh, in the confident expectation that, though he thus
deprived the limb of the supply of blood which it received through its
direct channel, it would not perish. His knowledge of the processes of
the animal economy led him to expect that the force of the circulation
being thus taken off from the aneurismal sac, the progress of the
disease would be stopped; that the sac itself, with all its contents,
would be absorbed; that by this means the whole tumour would be removed,
and that an opening into it would be unnecessary. The most complete
success followed this noble experiment, and the sensations which this
philosopher experienced when he witnessed the event, must have been
exquisite, and have constituted an appropriate reward for the
application of profound knowledge to the mitigation of human suffering.
After Hunter followed Abernethy, who, treading in the footsteps of his
master, for an aneurism of the femoral, placed a ligature around the
external iliac artery; lately the internal iliac itself has been taken
up, and surgeons have tied arteries of such importance, that they have
been themselves astonished at the extent and splendor of their success.
Every individual on whom an operation of this kind has been successfully
performed, is snatched by it from certain and inevitable death!
The symptom by which an aneurism is distinguished from every other
tumour is, chiefly, its pulsating motion. But when an aneurism has
become very large, it ceases to pulsate; and when an abscess is seated
near an artery of great magnitude, it acquires a pulsating motion;
because the pulsations of the artery are perceptible through the
abscess. The real nature of cases of this kind cannot possibly be
ascertained, without a most careful investigation, combined with an
exact knowledge of the structure and relative position of all the parts
in the neighbourhood of the tumour. Pelletan, one of the most
distinguished surgeons of France, was one day called to a man who, after
a long walk, was seized with a severe pain in the leg, over the seat of
which appeared a tumour, which was attended with a pulsation so violent
that it lifted up the hand of the examiner. There seemed every reason to
suppose that the case was an aneurismal swelling. This acute observer,
however, in comparing the affected with the sound limb, perceived in the
latter a similar throbbing. On careful examination he discovered that,
by a particular disposition in this individual, one of the main arteries
of the leg (the anterior tibial) deviated from its usual course, and
instead of plunging deep between the muscles, lay immediately under the
skin and fascia. The truth was, that the man in the exertion of walking
had ruptured some muscular fibres, and the uncommon distribution of the
artery gave to this accident these peculiar symptoms.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account