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Surgical Anatomy, by Joseph Maclise 152 года кн...docx
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VIII preface.

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 P. 9

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 P. 13

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 P. 17

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 P. 21

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 P. 25

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 P. 29

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 P. 33

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 P. 37

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.

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