by accident the survey of the normal appearances of the organs and
tissues offers an opportunity for study too valuable to be neglected.
Further, it is justifiable to practice upon the cadaver any surgical
operation that does not disfigure it. Removal of the spleen,
transplantation of thyroid tissue into the spleen, decapsulation of
the kidney, transplantation of ovarian tissue, gastric and intestinal
operations, anastomosis of blood-vessels, operations upon the uterus
and cervix, prostate, vas deferens, thyroid, nose, ear, etc., and
many other surgical procedures may be practiced with profit upon
a cadaver during the course of an autopsy. The feasibility of a
new operative method or the improvement of an old one may thus be
demonstrated.
In the case of medicolegal autopsies the ends of justice as well
as the life, liberty or reputation of some individual may depend
upon the results of the postmortem examination. In all cases to
which there is any suspicion attached, or in which the cause or
manner of death is doubtful an autopsy should be legally required,
but unfortunately this is not yet done in this country. Physicians
individually should endeavor to create in the public mind a more
healthy attitude toward the autopsy and an appreciation of its
usefulness. As to his own share in the advantages derived from it,
it is safe to say that no physician can perform an autopsy properly
without having his experience widened, his knowledge of disease
increased, his diagnostic faculties sharpened and his tendency to
subjectivity controlled. Last, but far from being the least, should
be his gain in honesty and humility.
3. =LEGAL ASPECTS OF THE AUTOPSY.= The individual cannot dispose of
his dead body without the consent of his nearest heirs, except in
those States (New York) providing by statute that a person may direct
the disposition of his cadaver. The legal rights to the corpse are
vested first in the husband or wife of the deceased; if none, then
first in the father, then in the mother; after the parents, in the
brothers or sisters; after them in the next of kin, according to the
course of common law; and then to the remotest degree according to
the law of descent of personal property. An autopsy performed with
the consent of the relative having the body in custody cannot be
questioned, if it is properly performed. In the case of members of
societies requiring autopsies the membership cards or certificates
should be endorsed by the nearest heir.
Public-domain text, read in full here on John Shaqi.
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