The Cornhill Magazine (Vol. I, No. 4, April 1860)Various
General
The Cornhill Magazine (Vol. I, No. 4, April 1860)
Various
England -- Periodicals; English literature -- Periodicals; Short stories, English -- Periodicals
powerful mallet and chisel.
It is to Ambrose Paré, the great French surgeon, who flourished in the
16th century, that we owe the application of the ligature (used long
before in ordinary wounds) to the bleeding arteries in amputation. He
discarded the use of the red-hot cautery, and of all the frightful
adjuncts already described; and accomplished his purpose by carrying the
thread round the vessel by means of a needle passed through the soft
parts adjacent—a method of adjustment which, although still in use, is
now employed only in exceptional instances. Richard Wiseman, sometimes
styled the father of English surgery, who practised about the middle
of the 17th century, is believed to have been the first to employ the
ligature in our own country, and to relinquish the application of heated
irons. At this era also, the circulation of the blood was discovered by
the renowned Harvey, and the distinction between arteries and veins being
thenceforth clearly understood, the value of the ligature was rendered
more than ever obvious.
But enough of this: let us soothe our ruffled nerves by seeing how the
thing is done to-day. We will take a quiet post of observation in the
area of the operating theatre at one of our metropolitan hospitals, in
this year of our Lord 1860. Notice is posted that amputation of the thigh
will be performed at 2 o’clock P.M., and we occupy our seat ten minutes
before the hour.
The area itself is small, of a horse-shoe form, and surrounded by seats
rising on a steep incline one above another, to the number of eight
or nine tiers. From 100 to 150 students occupy these, and pack pretty
closely, especially on the lower rows, whence the best view is obtained.
For an assemblage of youths between eighteen and twenty-five years,
who have nothing to do but to wait, they are tolerably well-behaved
and quiet. Three or four practical jokers, however, it is evident, are
distributed among them, and so the time passes all the quicker for the
rest. The clock has not long struck two, when the folding-doors open, and
in walk two or three of the leading surgeons of the hospital, followed
by a staff of dressers, and a few professional lookers-on; the latter
being confined to seats reserved for them on the lowest and innermost
tier. A small table, covered with instruments, occupies a place on one
side of the area; water, sponges, towels, and lint, are placed on the
opposite. The surgeon who is about to operate, rapidly glances over the
table, and sees that his instruments are all there, and in readiness.
He requests a colleague to take charge of the tourniquet, and with a
word deputes one assistant to “take the flaps,” another to hold the
limb, a third to hand the instruments, and the last to take charge of
the sponges. This done, and while the patient is inhaling chloroform in
an adjoining apartment, under the care of a gentleman who makes that
his special duty, the operator gives to the now hushed and listening
Public-domain text, read in full here on John Shaqi.
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