Eminent doctors: Their lives and their work; Vol. 1 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 1 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
The year 1785 was that in which Hunter first tied the femoral artery
in a case of popliteal aneurism, and thus initiated one of the
greatest modern improvements in surgery, relying upon the enlargement
of the smaller communicating or collateral vessels to make up for the
cessation of circulation through the principal vessel. This appears
to have been suggested to him by an experiment on the mode of growth
of deer’s antlers. Having been granted by the king the privilege
of experimenting with the deer in Richmond Park, he tied one of
the external carotid arteries supplying (_inter alia_) one of the
half-grown antlers. The antler became cold, but after a week or two
Hunter, to his astonishment, found that it had again become warm and
was growing again. On a _post mortem_ examination he discovered that
this continued growth was due to the enlargement of small branches
of the carotid above and below the wound, to an extent sufficient to
restore the blood-supply in the antler. And by a stroke of genius
Hunter saw that a similar process might be expected to occur in
cases of aneurism, and supersede the then generally fatal methods
of operating by means of amputation, or by directly evacuating the
sac of the aneurism. The fourth patient Hunter performed the new
operation upon lived for fifty years; a specimen illustrating the
case is preserved in the Hunterian Museum.
In 1786, on the death of Middleton, Hunter received the appointment
of deputy surgeon-general to the army; becoming in 1790, on the death
of Mr. Adair, surgeon-general and inspector of hospitals. In 1786
he published his long-deferred work on the Venereal Disease, which,
though printed and sold in his own house, met with a rapid sale, and
proved a very valuable work. In the same year he collected a large
number of his papers contributed to the Royal Society, together with
others not previously published, into a quarto volume entitled,
“Observations on certain Parts of the Animal Œconomy,” and thus
placed his researches in imposing bulk before the general public. The
Copley Medal of the Royal Society was awarded to Hunter in 1787 for
his discoveries in natural history.
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