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
At this period, Mr. Abernethy published sundry other interesting
papers, showing, in his observations of all that was passing around
him, that his views were not less circumspect and comprehensive than
they were clear. His "surgical cases" are all excellent; and if they do
not contain so full an account (the great vice of medical records) of
all the circumstances which preceded them, as are sufficient to furnish
future investigators with the elements of accurate generalization, they
are remarkably valuable for the qualities of clearness and candour.
We may have an opportunity of briefly alluding to some of these papers
in our summary; but they are hardly practicable subjects for popular
analysis, although they form some of the most valuable contributions to
the practical literature of the profession. They show also that he was
as penetrative and efficient in regard to the operative department of
practice, as he was in those higher and more extended views, which, in
enlarging the _science_ of surgery, has tended to diminish, of course,
the number of operations.
About the year 1785, John Hunter had invented his celebrated
improvement in the treatment of a disease of the arteries called
"Aneurism." It was a very simple deduction from observations on the
state of the arteries; and although it was one of those inquiries
which had been made the subject of experiments on living animals, it
was one on which _not the smallest light_ had been thrown by such
investigations.
Mr. Hunter had found that, in addition to many other serious objections
to an operation which had been usually performed for the relief of this
disease—which consists either of a giving way of a _portion_, or a
general enlargement, of a vessel (for it is sometimes one, sometimes
the other)—a great cause of failure had been, that the ligature which
was placed round the artery was too near the disease, and, in fact,
involved a portion of the tube which was unsound. He accordingly
proposed tying the artery a little farther off, and thus substituted,
for an operation which was extremely severe, very hazardous, and too
commonly fatal, a comparatively short and simple proceeding, which,
under _moderately favourable auspices_, is almost uniformly successful.
As with many other discoveries, accident and similarity of views had
suggested similar proceedings to others, so that continental surgeons
were disposed to dispute the merit of the discovery in favour of
Guillemeau, Guattani, Anel, Desault, &c., as their views favoured one
or other; but there can be no doubt that for the first clear exposition
of the _principles_ of the operation, as well as of the objects it was
designed to accomplish, we are indebted to John Hunter.
Public-domain text, read in full here on John Shaqi.
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