Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First PublishedMacilwain, George
Science
Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First Published
Macilwain, George
Abernethy, John, 1764-1831; Physicians -- Great Britain -- Biography
To return from this digression. The most distinguished surgeons ever
known in this country have shown us how to combine, in the highest
degree, dexterity and skill, with science and humanity; together with
a just estimate of the low position occupied by operations in the
scale of our important studies. I may allude to two more particularly,
Cheselden and John Hunter; the former, the most expert and successful
operator of his day, in the European sense of the word, has left us a
satisfactory declaration on this subject. Cheselden acknowledges that
he seldom slept much the night previous to the day on which he had any
important operation; but that, once engaged in operating, he was always
firm, and his hand never trembled. John Hunter was not only a good
operator himself, but he deduced from observation one of the greatest
improvements in operative surgery. His discovery had all the elements
of improvement that are possible in this branch of the profession.
An operation which had been founded upon erroneous views of the nature
and relations of the parts affected—which had been always tedious and
painful in performance—which, whether successful or not, entailed much
subsequent suffering, which in its results was highly dangerous, and
which was very commonly followed by the loss of the limb or life,—was
replaced by one founded on more correct views of the disease, easy and
simple in its execution, occupying not more than a very few minutes,
and which, so far as regards the purpose for which it was instituted,
and to which it should be restricted, is almost invariably successful.
If it be performed under circumstances implying conditions _contrary
to those on which Mr. Hunter's operation was founded_, very different
results have no doubt taken place; but, when properly applied, his
operation for aneurism is no doubt one of the greatest improvements in
operative surgery.
John Hunter treats of operations in terms which show how low he rated
that part of our duties. He speaks of them as humiliating examples of
the imperfection of our science, and figures to himself an operator
under the repulsive symbol of an armed savage. "No surgeon," said he,
"should approach the victim of his operation without a sacred dread and
reluctance, and should be _superior to that popular éclat generally
attending painful operations, often only because they are so_, or
because they are expensive to the patient"—p. 210. Abernethy, whose
keen observation saw the difficult web which various sophistries,
to use no harsher term, had thrown around the subject, was very
characteristic in the manner in which he dashed it aside, and pointed
to the salient source of error.
"Never perform an operation," he would say, "on another person, which,
under similar circumstances, you would not have performed on yourself."
Public-domain text, read in full here on John Shaqi.
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