قراءة كتاب Surgical Anatomy

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Surgical Anatomy

Surgical Anatomy

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دار النشر: Project Gutenberg
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but even with the
infinitesimals of the human body; and reason, confined to this narrow
range of a subject, perceives herself to be imprisoned, and quenches her
guiding light in despair. Originality has outlived itself; and discovery
is a long-forgotten enterprise, except as pursued in the microcosm on
the field of the microscope, which, it must be confessed, has drawn
forth demonstrations only commensurate in importance with the magnitude
of the littleness there seen.

The subject of our study, whichever it happen to be, may appear
exhausted of all interest, and the promise of valuable novelty, owing to
two reasons:--It may be, like descriptive human anatomy, so cold, poor
and sterile in its own nature, and so barren of product, that it will be
impossible for even the genius of Promethean fire to warm it; or else,
like existing physiology, the very point of view from which the mental
eye surveys the theme, will blight the fair prospect of truth, distort
induction, and clog up the paces of ratiocination. The physiologist of
the present day is too little of a comparative anatomist, and far too
closely enveloped in the absurd jargon of the anthropotomist, ever to
hope to reveal any great truth for science, and dispel the mists which
still hang over the phenomena of the nervous system. He is steeped too
deeply in the base nomenclature of the antique school, and too indolent
to question the import of Pons, Commissure, Island, Taenia, Nates,
Testes, Cornu, Hippocamp, Thalamus, Vermes, Arbor Vitro, Respiratory
Tract, Ganglia of Increase, and all such phrase of unmeaning sound, ever
to be productive of lucid interpretation of the cerebro-spinal ens.
Custom alone sanctions his use of such names; but

  "Custom calls him to it!
  What custom wills; should custom always do it,
  The dust on antique time would lie unswept,
  And mountainous error be too highly heaped,
  For truth to overpeer."

Of the illustrations of this work I may state, in guarantee of their
anatomical accuracy, that they have been made by myself from my own
dissections, first planned at the London University College, and
afterwards realised at the Ecole Pratique, and School of Anatomy
adjoining the Hospital La Pitie, Paris, a few years since. As far as the
subject of relative anatomy could admit of novel treatment, rigidly
confined to facts unalterable, I have endeavoured to give it.

The unbroken surface of the human figure is as a map to the surgeon,
explanatory of the anatomy arranged beneath; and I have therefore left
appended to the dissected regions as much of the undissected as was
necessary. My object was to indicate the interior through the
superficies, and thereby illustrate the whole living body which concerns
surgery, through its dissected dead counterfeit. We dissect the dead
animal body in order to furnish the memory with as clear an account of
the structure contained in its living representative, which we are not
allowed to analyse, as if this latter were perfectly translucent, and
directly demonstrative of its component parts.

J. M



TABLE OF CONTENTS.

PREFACE

INTRODUCTORY TO THE STUDY OF ANATOMY AS A SCIENCE.


COMMENTARY ON PLATES 1 & 2

THE FORM OF THE THORAX, AND THE RELATIVE POSITION OF ITS
CONTAINED PARTS--THE LUNGS, HEART, AND LARGER BLOOD VESSELS.

The structure, mechanism, and respiratory motions of the thoracic
apparatus. Its varieties in form, according to age and sex. Its
deformities. Applications to the study of physical diagnosis.


COMMENTARY ON PLATES 3 & 4

THE SURGICAL FORM OF THE SUPERFICIAL, CERVICAL, AND FACIAL
REGIONS, AND THE RELATIVE POSITION OF THE PRINCIPAL BLOOD
VESSELS, NERVES, ETC.

The cervical surgical triangles considered in reference to the position
of the subclavian and carotid vessels, &c. Venesection in respect to the
external jugular vein. Anatomical reasons for avoiding transverse
incisions in the neck. The parts endangered in surgical operations on
the parotid and submaxillary glands, &c.


COMMENTARY ON PLATES 5 & 6

THE SURGICAL FORM OF THE DEEP CERVICAL AND FACIAL REGIONS,
AND THE RELATIVE POSITION OF THE PRINCIPAL BLOOD VESSELS,
NERVES, ETC.

The course of the carotid and subclavian vessels in reference to each
other, to the surface, and to their respective surgical triangles.
Differences in the form of the neck in individuals of different age and
sex. Special relations of the vessels. Physiological remarks on the
carotid artery. Peculiarities in the relative position of the subclavian
artery.


COMMENTARY ON PLATES 7 & 8

THE SURGICAL DISSECTION OF THE SUBCLAVIAN AND CAROTID
REGIONS, AND THE RELATIVE ANATOMY OF THEIR CONTENTS.

General observations. Abnormal complications of the carotid and
subclavian arteries. Relative position of the vessels liable to change
by the motions of the head and shoulder. Necessity for a fixed surgical
position in operations affecting these vessels. The operations for tying
the carotid or the subclavian at different situations in cases of
aneurism, &c. The operation for tying the innominate artery. Reasons of
the unfavourable results of this proceeding.


COMMENTARY ON PLATES 9 & 10

THE SURGICAL DISSECTION OF THE EPISTERNAL OR TRACHEAL
REGION, AND THE RELATIVE POSITION OF ITS MAIN BLOOD VESSELS,
NERVES, ETC.

Varieties of the primary aortic branches explained by the law of
metamorphosis. The structures at the median line of the neck. The
operations of tracheotomy and laryngotomy in the child and adult, The
right and left brachio-cephalic arteries and their varieties considered
surgically.


COMMENTARY ON PLATES 11 & 12

THE SURGICAL DISSECTION OF THE AXILLARY AND BRACHIAL
REGIONS, DISPLAYING THE RELATIVE POSITION OF THEIR CONTAINED PARTS.

The operation for tying the axillary artery. Remarks on fractures of the
clavicle and dislocation of the humerus in reference to the axillary
vessels. The operation for tying the brachial artery near the axilla.
Mode of compressing this vessel against the humerus.


COMMENTARY ON PLATES 13 & 14

THE SURGICAL FORMS OF THE MALE AND FEMALE AXILLAE
COMPARED.

The mammary and axillary glands in health and disease. Excision of these
glands. Axillary abscess. General surgical observations on the axilla.


COMMENTARY ON PLATES 15 & 16

THE SURGICAL DISSECTION OF THE BEND OF THE ELBOW AND THE
FOREARM, SHOWING THE RELATIVE POSITION OF THE VESSELS AND NERVES.

General remarks. Operation for tying the brachial artery at its middle
and lower thirds. Varieties of the brachial artery. Venesection at the
bend of the elbow. The radial and ulnar pulse. Operations for tying the
radial and ulnar arteries in several parts.


COMMENTARY ON PLATES 17, 18, & 19

THE SURGICAL DISSECTION OF THE WRIST AND HAND.

General observations. Superficial and deep palmar arches. Wounds of
these vessels requiring a ligature to be applied to both ends. General
surgical remarks on the arteries of the upper limb. Palmar abscess,

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