General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)Bichat, Xavier
Science
General Anatomy, Applied to Physiology and Medicine, Vol. 1 (of 3)
Bichat, Xavier
Human anatomy; Human physiology
It is this circumstance that has induced me to propose for the
operation of sarcocele, a modification which consists, after having
dissected around the cord after the first incision, 1st, in searching
immediately for the vas deferens, which is easily found by its extreme
hardness; 2d, in giving it to an assistant to hold; 3d, in passing
a bistoury between it and the blood vessels; 4th, in cutting the
blood vessels first and leaving the vas deferens untouched; 5th, in
afterwards tying the artery, which is easily discovered by the jet
of blood; 6th, and then, when this is done in cutting also the vas
deferens. It is evident, that by this section at two different times,
we have the advantage of applying the ligature without fear of the
retraction of the artery, since the vas deferens to which it adheres,
and which is not cut, until it is tied, is sufficient to retain it.
I have not performed the operation; but it is evident that there is
nothing to prevent the execution of this plan, since the parts are
sound where we cut. I have moreover always taught the student to manage
in this way with ease. It is especially when it is necessary to cut the
cord very near the ring, because it is diseased in its course, that
this method of operating appears to me to have great advantages.
I think that the retraction of arteries that have been drawn, and
their contraction afterwards, perform an important part, in producing
the absence of hemorrhage in most wounds by laceration, a singular
phenomenon, that particularly distinguishes these wounds from those
by cutting, even when a considerable vessel happens to be in their
course. Many authors have given examples of this; we find some
particularly in the works of Sabatier.
III. _Vital Properties._
_Properties of Animal Life. Sensibility._
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