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
There is not much which is absolutely new in it. It is chiefly
remarkable for the clear manner in which it places before us what is
required, as distinguished from what is officious and unnecessary, and,
in fact, reduces the treatment to that of ordinary cases, with one
clearly defined modification.
He shows his familiarity with Pneumatics, so far as they are touched
by the case, just as he does his knowledge of Chemistry elsewhere. The
exceptional cases, in which the air is confined in the chest, the mode
of procuring it an exit by operation, and the condition regulating this
proceeding, are very simply and clearly laid down.
The paper also contains remarks on the collapse of the lungs when the
chest is opened, and on certain exceptions which have been observed,
which, from their general interest and suggestive character, will well
repay an attentive perusal.
He next offers a few remarks on those mothers' marks, as they are
popularly called, and which are technically styled nævi. They are
generally little more than clusters of enlarged blood-vessels, and are
usually removed by excision or other operative proceedings. As the
essential character of these marks is increased action and size of
vessels, Mr. Abernethy thought that, if well-regulated pressure were
made on them so as to impede the flow of blood into them, and this were
conjoined with Cold (which represses vascular action), many of them
might be got rid of in this manner. He found his idea realized, and
published three cases of its success. The value of these suggestions
consists, first, in the opposition they offer, _pro tanto_, to that
absurd tendency there is to remove everything like a tumour; and the
impediment thence arising to any searching inquiry into the causes on
which they depend.
But there is another inconvenience which occasionally renders the
excision of these nævi very inadvisable. It sometimes happens that
they are so situated that they cannot be removed, without making the
disfigurement greater, or from some other still more serious objection;
as, for example, when small ones occur in the face, or when they
are placed near the eye. Under such circumstances, the contraction
consequent on a wound of any extent is a serious inconvenience; in
some of these cases, the adoption of Mr. Abernethy's plan allows us to
dispense with the operation by excision, as I have myself experienced.
As it illustrates the advantage of the plan in a case where it was
particularly applicable, I will briefly refer to one example. A
young lady had one of these marks at the root of the nose, where,
from the position, as well as from the contiguity of the eyes, any
dragging from the contraction of a scar, would have been particularly
undesirable. She was brought from the country to have it removed; but,
on representing the objections to that course, it was agreed to try Mr.
Abernethy's plan, which was completely successful.
Public-domain text, read in full here on John Shaqi.
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